Illinois Registered Agent, Inc.

REQUIRED INFO FORM

This is information that we will need to service your account.

All fields must be completed.  If the field does not apply to you then insert n/a

Entity type (i.e. Corp, LLC, NFP, LP)
Company name
Mailing address (include City, State and Zip)
Principal office address (Include City, State and Zip)
Email address for Service of Process contact
Who do we contact for Service of Process
Phone number for Service of Process contact
Who do we contact with State correspondence
Email address for State correspondence contact
Phone number for State correspondence contact:
State of Formation
Alternate company name (if the name is not available in Illinois)
What document do you intend to file in Illinois?
Do you need to discuss your situation with us?
Do you have special instructions for us?
Upon successful submission of this form, you will be returned to the Service Fee Page to complete purchase.

REQUIRED INFO FORM

This is information that we will need to service your account.

All fields must be completed.  If the field does not apply to you then insert n/a

Entity type (i.e. Corp, LLC, NFP, LP)
Company name
Mailing address (include City, State and Zip)
Principal office address (Include City, State and Zip)
Email address for Service of Process contact
Who do we contact for Service of Process
Phone number for Service of Process contact
Who do we contact with State correspondence
Email address for State correspondence contact
Phone number for State correspondence contact:
State of Formation
Alternate company name (if the name is not available in Illinois)
What document do you intend to file in Illinois?
Do you need to discuss your situation with us?
Do you have special instructions for us?