Information We Need From You to Service an Account...
Providing the required information requested below allows us to properly service your account and insure timely delivery of state correspondence and service of process received on behalf of your company. The information you provide will not be sold or transferred.
Please be as thorough as possible when answering these questions. If you do not know the answer to a question, please place n/a in the required field and supply that information to us when it becomes available.
Information Required for Registered Agent Representation:
My company is a:
Provide us the exact legal name of the company including its corporate designation (i.e. Inc., LLC.):
Alternate company names if the name you have chosen is not available for use in Illinois (d/b/a - doing business as) Please provide at least 1 alternate name):
Name and title of the person designated to receive state correspondence on behalf of the company:
Email address of the contact person to receive state correspondence:
Name and title of the person desiganted to receive service of process on behalf of the company:
Email address of contact person to receive service of process:
Principal office address of the business where regular mail and overnight deliveries are received:
The business telephone number:
The business fax number:
Anticipated filing date & type of filing (i.e. agent change, incorporation)
If your company is in existence in another state and your intent is to qualify your company to do business in Illinois, please tell us your state of formation:
Special Instructions to Illinois Registered Agent:
Once you have submit the information requested above, please proceed to the "Purchases" page to select the appropriate level of service and complete your transaction through PayPal.
