LLC Order Form "*" indicates required fields Step 1 of 2 50% CompanyThis field is for validation purposes and should be left unchanged.LLC Order Form*Single Member $495Two Member $695Choose Single Member or Two Member (other please call).Customer Name* First Middle Last Customer Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* 2nd Member Name First Middle Last 2nd Member Address Same as Customer Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Filing State*Alabama $220Alaska $265Arizona $95Arkansas $60California $100Colorado $60Connecticut $300Delaware $100District of Columbia $165Florida $170Georgia $110Hawaii $110Idaho $110Illinois $160Indiana $100Iowa $60Kansas $185Kentucky $60Louisiana $90Maine $200Maryland $220Massachusetts $550Michigan $120Minnesota $190Mississippi $65Missouri $60Montana $80Nebraska $140Nevada $435New Hampshire $110New Jersey $140New Mexico $80New York $260North Carolina $135North Dakota $145Ohio $140Oklahoma $115Oregon $110Pennsylvania $135Rhode Island $165South Carolina $120South Dakota $135Tennessee $325Texas $325Utah $80Vermont $110Virginia $125Washington $220West Virginia $125Wisconsin $150Includes surcharges for credit cards, online filing and/or copies. May also include additional state fees for additional required services. Annual Compliance Package $495* Yes, please add Annual Compliance Package No, I decline Annual Compliance Package Annual Compliance Package including Registered Agent Services, Annual Report Filing Service, Private Client Portal and Support, renews each year at $495 annually plus applicable state filing fees unless canceled 30 days in advance of due date. Invoice sent 90 days in advance.Name of Registered AgentAll LLC's are required by Secretary of State to have a Registered/Resident/Statutory Agent for service of process.Address of Registered Agent Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Choose a Name for Your LLC*Choose up to three names (i.e. XYZ Ventures LLC, ABC Investments LLC, Smith Holdings LLC etc.) for your LLC. List in order of preference one name to a line.Total Credit Card* Cardholder Name Card Details SMS Consent I Consent I agree to receive SMS from Self Directed IRA LLC (Nationwide Corporate Services, Inc.). Message/data rates may apply. Reply STOP to opt out, HELP for help. Consent isn’t a condition of purchase Δ
