Form SS I-1 "Collection Agency/Debt Collector Registration Form" - Louisiana

What Is Form SS I-1?

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

Form Details:

  • Released on May 1, 2018;
  • The latest edition provided by the Louisiana Secretary of 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 printable version of Form SS I-1 by clicking the link below or browse more documents and templates provided by the Louisiana Secretary of State.

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Download Form SS I-1 "Collection Agency/Debt Collector Registration Form" - Louisiana

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S
L
Commercial Division
TATE OF
OUISIANA
(225) 925-4704
S
S
ECRETARY OF
TATE
R. Kyle Ardoin
Fax Numbers
SECRETARY OF STATE
(225) 932-5314 Corporations
(225) 932-5317 Legal Services
(225) 932-5318 UCC
TRANSMITTAL INFORMATION
For All Business Filings
Please indicate below the level of service requested, payment and contact information
Routine
Expedite $30
Priority Expedite $50
24 hour processing
2-4 hour processing
Check or Money Order Enclosed
*Do not put credit card information on this form. You may save payment information in your geauxBIZ profile under master account.
Business Name (List exactly as it appears in documents)
Name of person filing document (evidence of filing will be mailed to this person, at address below)
Address
State
City
Zip Code
Daytime phone number
Fax number
Email address
NOTE: Louisiana Law requires all Louisiana notaries to print or type their name and notary or
bar roll number on the document.
Mailing Address: P. O. Box 94125, Baton Rouge, LA * 70804-9125
Office Location: 8585 Archives Ave., Baton Rouge, LA * 70809
Web Site Address: www.sos.la.gov
SS984 Rev. 06/18
S
L
Commercial Division
TATE OF
OUISIANA
(225) 925-4704
S
S
ECRETARY OF
TATE
R. Kyle Ardoin
Fax Numbers
SECRETARY OF STATE
(225) 932-5314 Corporations
(225) 932-5317 Legal Services
(225) 932-5318 UCC
TRANSMITTAL INFORMATION
For All Business Filings
Please indicate below the level of service requested, payment and contact information
Routine
Expedite $30
Priority Expedite $50
24 hour processing
2-4 hour processing
Check or Money Order Enclosed
*Do not put credit card information on this form. You may save payment information in your geauxBIZ profile under master account.
Business Name (List exactly as it appears in documents)
Name of person filing document (evidence of filing will be mailed to this person, at address below)
Address
State
City
Zip Code
Daytime phone number
Fax number
Email address
NOTE: Louisiana Law requires all Louisiana notaries to print or type their name and notary or
bar roll number on the document.
Mailing Address: P. O. Box 94125, Baton Rouge, LA * 70804-9125
Office Location: 8585 Archives Ave., Baton Rouge, LA * 70809
Web Site Address: www.sos.la.gov
SS984 Rev. 06/18
R. Kyle Ardoin
COLLECTION AGENCY/DEBT COLLECTOR REGISTRATION FORM
Secretary of State
(Pursuant to R.S. 9:3534.1 B)
Enclose $25 filing fee
Return to: Commercial Division
Make remittance payable to
P.O. Box 94125
Secretary of State
Baton Rouge, LA 70804-9125
Do Not Send Cash
(225) 925-4704
www.sos.la.gov
( ) Original Filing
( ) Amendment
( ) Name Change
The full legal name of the collection agency or debt collector is
Previous name of the collection agency or debt collector is
Jurisdiction of organization if collector is a company
Address where legal process may be served
Name of employer if collector is an individual
Signature of Authorized Representative
Date
INSTRUCTIONS
1. File this form along with the $25 filing fee with the Secretary of State’s Office.
2. You will receive a copy marked “Received and Filed” by the secretary of state.
SS I-1
05/18
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