Form CXC-1-1.0 "Request for Certificates / Legal Existence" - Connecticut

Form CXC-1-1.0 is a Connecticut Secretary of the State form also known as the "Request For Certificates / Legal Existence". The latest edition of the form was released in December 1, 2017 and is available for digital filing.

Download a PDF version of the Form CXC-1-1.0 down below or find it on Connecticut Secretary of the State Forms website.

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Download Form CXC-1-1.0 "Request for Certificates / Legal Existence" - 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 CERTIFICATES / LEGAL EXISTENCE
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY.
FILING PARTY
:
FINANCIAL UNIT USE ONLY
(Confirmation / Certificates) 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
OR BUSINESS I.D.:
(Enter Name Exactly As It Appears On Our Records)
BE CERTAIN YOU CHECK THE CORRECT BOX
ROUTINE
EXPEDITED
(Completed within 3-5 business days)
(Completed within 24 business hours)
1.
CORPORATIONS
☐ $50.00
☐ $100.00
EXPRESS CERTIFICATE OF LEGAL EXISTENCE
SHORT FORM CERTIFICATE (REFLECTS ALL NAME CHANGES)
☐ $80.00
☐$130.00
LONG FORM CERTIFICATE (DOMESTIC ONLY)
☐ $120.00
{Cannot be expedited}
2.
LIMITED LIABILITY COMPANIES:
☐ $50.00
☐ $100.00
EXPRESS CERTIFICATE
☐ $50.00
☐ $100.00
SHORT FORM CERTIFICATE (REFLECTS ALL NAME CHANGES)
☐ $100.00
LONG FORM CERTIFICATE (DOMESTIC ONLY)
{Cannot be expedited}
3.
LIMITED PARTNERSHIPS:
☐ $50.00
☐ $100.00
CERTIFICATE OF LEGAL EXISTENCE
4.
LIMITED LIABILITY PARTNERSHIPS:
☐ $40.00
☐ $90.00
EXPRESS CERTIFICATE
☐ $80.00
☐ $130.00
SHORT FORM CERTIFICATE
☐ $120.00
LONG FORM CERTIFICATE (DOMESTIC ONLY)
{Cannot be expedited}
5.
STATUTORY TRUSTS:
☐ $40.00
☐ $90.00
EXPRESS CERTIFICATE
☐ $80.00
☐ $130.00
SHORT FORM CERTIFICATE
6.
SPECIAL CERTIFICATES:
☐ $50.00
☐ $100.00
CERTIFICATE EVIDENCING _________________________________
(Specify type)
☐ $50.00
{Cannot be expedited}
NO RECORD
PAYMENT METHODS:
☐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
Revised 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 CERTIFICATES / LEGAL EXISTENCE
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY.
FILING PARTY
:
FINANCIAL UNIT USE ONLY
(Confirmation / Certificates) 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
OR BUSINESS I.D.:
(Enter Name Exactly As It Appears On Our Records)
BE CERTAIN YOU CHECK THE CORRECT BOX
ROUTINE
EXPEDITED
(Completed within 3-5 business days)
(Completed within 24 business hours)
1.
CORPORATIONS
☐ $50.00
☐ $100.00
EXPRESS CERTIFICATE OF LEGAL EXISTENCE
SHORT FORM CERTIFICATE (REFLECTS ALL NAME CHANGES)
☐ $80.00
☐$130.00
LONG FORM CERTIFICATE (DOMESTIC ONLY)
☐ $120.00
{Cannot be expedited}
2.
LIMITED LIABILITY COMPANIES:
☐ $50.00
☐ $100.00
EXPRESS CERTIFICATE
☐ $50.00
☐ $100.00
SHORT FORM CERTIFICATE (REFLECTS ALL NAME CHANGES)
☐ $100.00
LONG FORM CERTIFICATE (DOMESTIC ONLY)
{Cannot be expedited}
3.
LIMITED PARTNERSHIPS:
☐ $50.00
☐ $100.00
CERTIFICATE OF LEGAL EXISTENCE
4.
LIMITED LIABILITY PARTNERSHIPS:
☐ $40.00
☐ $90.00
EXPRESS CERTIFICATE
☐ $80.00
☐ $130.00
SHORT FORM CERTIFICATE
☐ $120.00
LONG FORM CERTIFICATE (DOMESTIC ONLY)
{Cannot be expedited}
5.
STATUTORY TRUSTS:
☐ $40.00
☐ $90.00
EXPRESS CERTIFICATE
☐ $80.00
☐ $130.00
SHORT FORM CERTIFICATE
6.
SPECIAL CERTIFICATES:
☐ $50.00
☐ $100.00
CERTIFICATE EVIDENCING _________________________________
(Specify type)
☐ $50.00
{Cannot be expedited}
NO RECORD
PAYMENT METHODS:
☐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
Revised 12/2017
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