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Florida Limited Liability Secure Order Form
 
Basic Company Information
Enter the desired Company Name:
Enter the desired Company Name:
Proposed LLC Company Name*

Choose Abbreviation

Phone # (No Dashes)

Fax # (No Dashes)

Street Address*

City*

Zip Code*

Mailing address if different than above

E-Mail:*

 
Managers & Members of the LLC
 
Please list the names and addresses of your Managers/Members. Only one Manager is required, you may list up to three. If you have more than three please list additional in the special instructions section. If you need a Workers Compensation Exemption you must be a Manager / Member.
 
Manager / Member #1
 
First Name:*

Middle Initial:

Last Name:*

Address, City, State & Zip*

Please select Title for this person:

 
Manager / Member #2
 
First Name:

Middle Initial:

Last Name:

Address, City, State & Zip

Please select Title for this person:

 
Manager / Member #3
 
First Name:

Middle Initial:

Last Name:

Address, City, State & Zip

Please select Title for this person:

 
Registered Agent & Misc.
 
Social Security Member/Manager #1*

How many employees do you have?

Describe your Business

As a LLC you are required to have a registered agent. Simply put a registered agent is someone who is designated to receive documentation on behalf of the company and is available during business hours to accept documents at the business address. You can elect to be your own agent. Our annual fee is 50.00 plus any postage. The first year is free.
Select Registered Agent:

Special Instructions:

 
Selection of Services / Payment Methods
 
$210.00 -Flordia LLC Includes: Rush Service,State filing fees, Application processing, Certificate of Status, Articles of Limited Liability, FEIN Number and Postage.

Select Payment Type

 
Card Number:

 
Exp Date:

 
3 digit code on back of card:

 
Name and Billing Address of Cardholder:

 
Agreement - Read, Sign and click Submit to order.
 
By entering my first & last below, I give permission to NTB Services LLC to process my request to be a Limited Liability and obtain an FEIN number. I agree that NTB Services LLC aka www.affordablecorp.com has not provided me with any legal services or advice. This service is offered with the understanding that NTB Services LLC is not engaged in rendering legal, accounting or tax advice. NTB Services LLC specifically disclaims any liability, loss or risk, personal or otherwise, incurred directly or indirectly as a consequence of the use of this service or information located on the website.
 
Signature: (Type First and Last Name)*

 
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