Form CXC-1-1.0 "Request for Copies" - Connecticut

What Is Form CXC-1-1.0?

This is a legal form that was released by the Connecticut Secretary of the State - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2017;
  • The latest edition provided by the Connecticut Secretary of the State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CXC-1-1.0 by clicking the link below or browse more documents and templates provided by the Connecticut Secretary of the State.

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Download Form CXC-1-1.0 "Request for Copies" - Connecticut

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SECRETARY OF THE STATE OF CONNECTICUT
MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470
DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106
PHONE: 860-509-6002
WEBSITE:
www.concord-sots.ct.gov
FAX: 860-509-6057
REQUEST FOR COPIES
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY.
FILING PARTY
:
FINANCIAL UNIT USE ONLY
(Confirmation / Cop(ies) Will Be Sent To This Address)
AMT. REC’D $
CA CR
NAME:
TRANS. ID:
ADDRESS:
BATCH DATE:
CITY:
STATE:
ZIP:
CUSTOMER ID
TELEPHONE:
#: (if any)
BUSINESS NAME
:
(Enter Name Exactly As It Appears On Our Records)
OR
BUSINESS ID #:
FEES (
:
FEES
:
completed within 24 business hours)
(completed within 3-5 business days)
Expedited Certified Copy - $105.00 each
Certified Copy - $55.00 each
Expedited Plain Copy - $90.00 each
Plain Copy - $40.00 each
Copies Will Be Mailed
Copies Will Be Mailed
TYPE OF DOCUMENT
FILING NUMBER or DATE OF FILING
TYPE OF COPY / NUMBER OF COPIES
(e.g. Certificate of Incorporation)
1:
 Certified Copy _____ x 55.00=$________
 Plain Copy
_____ x 40.00=$________
2:
 Certified Copy _____ x 55.00=$________
 Plain Copy
_____ x 40.00=$________
3:
 Certified Copy _____ x 55.00=$________
 Plain Copy
_____ x 40.00=$________
FOR ADDITIONAL REQUESTS, INCLUDE 8 ½ X 11 SHEETS OR SCREEN PRINT FROM WEBSITE.
Total $_____________
(OPTIONAL) Expedited Service – Total Number of Copies Requested _____ x 50.00 = $_____________
Grand Total $_____________
PAYMENT METHODS (Choose One):
☐Make checks payable to “Secretary of the State”.
☐Payment by an existing Customer ID: ________________________________
☐To fax this request you must complete the following Credit Card Payment Authorization to 860-509-6057.
AMOUNT AUTHORIZED: $_________________
CREDIT CARD BILLING INFORMATION (Failure to provide ALL Required credit card information will result in delay of processing):
NAME:
CARD NO.:
ADDRESS:
EXPIRATION DATE:
SECURITY CODE:
CITY:
STATE:
ZIP:
SIGNATURE: X______________________________________
FORM CXC-1-1.0
PAGE 1 OF 1
Rev. 12/2017
SECRETARY OF THE STATE OF CONNECTICUT
MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470
DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106
PHONE: 860-509-6002
WEBSITE:
www.concord-sots.ct.gov
FAX: 860-509-6057
REQUEST FOR COPIES
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY.
FILING PARTY
:
FINANCIAL UNIT USE ONLY
(Confirmation / Cop(ies) Will Be Sent To This Address)
AMT. REC’D $
CA CR
NAME:
TRANS. ID:
ADDRESS:
BATCH DATE:
CITY:
STATE:
ZIP:
CUSTOMER ID
TELEPHONE:
#: (if any)
BUSINESS NAME
:
(Enter Name Exactly As It Appears On Our Records)
OR
BUSINESS ID #:
FEES (
:
FEES
:
completed within 24 business hours)
(completed within 3-5 business days)
Expedited Certified Copy - $105.00 each
Certified Copy - $55.00 each
Expedited Plain Copy - $90.00 each
Plain Copy - $40.00 each
Copies Will Be Mailed
Copies Will Be Mailed
TYPE OF DOCUMENT
FILING NUMBER or DATE OF FILING
TYPE OF COPY / NUMBER OF COPIES
(e.g. Certificate of Incorporation)
1:
 Certified Copy _____ x 55.00=$________
 Plain Copy
_____ x 40.00=$________
2:
 Certified Copy _____ x 55.00=$________
 Plain Copy
_____ x 40.00=$________
3:
 Certified Copy _____ x 55.00=$________
 Plain Copy
_____ x 40.00=$________
FOR ADDITIONAL REQUESTS, INCLUDE 8 ½ X 11 SHEETS OR SCREEN PRINT FROM WEBSITE.
Total $_____________
(OPTIONAL) Expedited Service – Total Number of Copies Requested _____ x 50.00 = $_____________
Grand Total $_____________
PAYMENT METHODS (Choose One):
☐Make checks payable to “Secretary of the State”.
☐Payment by an existing Customer ID: ________________________________
☐To fax this request you must complete the following Credit Card Payment Authorization to 860-509-6057.
AMOUNT AUTHORIZED: $_________________
CREDIT CARD BILLING INFORMATION (Failure to provide ALL Required credit card information will result in delay of processing):
NAME:
CARD NO.:
ADDRESS:
EXPIRATION DATE:
SECURITY CODE:
CITY:
STATE:
ZIP:
SIGNATURE: X______________________________________
FORM CXC-1-1.0
PAGE 1 OF 1
Rev. 12/2017