LLC Form
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1. YOUR INFORMATION
Please complete ALL SECTIONS for Indiana Limited Liability Corporations (LLC).
| YOUR INFORMATION | |
| *Your full name: | |
| *Your telephone number: | |
| Your fax number: | |
| *Your e-mail address: | |
2. LLC CORPORATE INFORMATION
CHOOSE A NAME FOR YOUR INDIANA LLC
If your Corporation Name is not available, we will contact you to provide an Alternate Name.
| *First choice: | |
| Second choice: | |
| Third choice: | |
Note: Write the name exactly as you want it to appear. If you want a comma before your corporate suffix, be sure to put it here.
LLC’s MUST add one of the suffixes in the drop down menu.
*Required Fields
| PRINCIPAL PLACE OF BUSINESS | ||
| *Address (no PO Box): |
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| Address 2: | ||
| *City: | ||
| *State/Province: | ||
| *Zip: |
| CORPORATE MAILING ADDRESS | ||
| *Address (PO Box OK): |
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| Address 2: | ||
| *City: | ||
| *State/Province: | ||
| *Zip: |
IS THE LLC MANAGED BY MANAGERS?
Note: Managed by managers would indicate the managers are an outside entity and not members of the LLC.
Yes No
3. LLC REGISTERED AGENT
The Registered Agent is a person or entity designated to receive important tax and legal documents on behalf of the corporation. Enter an individual’s name (can be yourself) or the name of any business entity registered with the Indiana Business Services Division to serve as Registered Agent on behalf of your corporation. This person or business will also be listed as the Incorporator with the following name and address.
Check this box if the registered agent information is YOU and you want to use the “Principal Business Address” found in step #2 above as the address. You can skip this section and go to # 4.
Check this box if you don’t have a registered agent or a physical address in Indiana and need to have one appointed. ($125 per year).
If you haven’t checked either box above, please fill out your “Registered Agent” info below:
Note: The registered agent address MUST be located at an Indiana address.
| REGISTERED AGENT | |
| *Your full name: | |
| *Your address 1: (No PO box) | |
| Your address 2: | |
| *City: | |
| *State/Province: | |
| Zip: | |
| Telephone number: | |
| Secondary phone: | |
| Fax number: | |
| E-mail address: |
4. LLC MEMBERS
Tip: Members are NOT required to be listed in the Articles of Incorporation. If you list members, the minimum number is 1; No residence requirements; Must be a natural person 18 years of age or older.
| 1ST MEMBER | ||
| Full name: | ||
| Address: |
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| Address 2: | ||
| City: | ||
| State/Province: | ||
| Zip: | ||
| E-mail address: |
| 2ND MEMBER | ||
| Full name: | ||
| Address: |
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| Address 2: | ||
| City: | ||
| State/Province: | ||
| Zip: | ||
| E-mail address: |
| 3RD MEMBER | ||
| Full name: | ||
| Address: |
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| Address 2: | ||
| City: | ||
| State/Province: | ||
| Zip: | ||
| E-mail address: |
| 4TH MEMBER | ||
| Full name: | ||
| Address: |
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| Address 2: | ||
| City: | ||
| State/Province: | ||
| Zip: | ||
| E-mail address: |
| 5TH MEMBER | ||
| Full name: | ||
| Address: |
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| Address 2: | ||
| City: | ||
| State/Province: | ||
| Zip: | ||
| E-mail address: |
| 6TH MEMBER | ||
| Full name: | ||
| Address: |
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| Address 2: | ||
| City: | ||
| State/Province: | ||
| Zip: | ||
| E-mail address: |
WOULD YOU LIKE A CORPORATE KIT?
WHERE DID YOU HEAR ABOUT US?
If Other:
Your INDIANA LLC Incorporation Includes:
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Total Package Just: $345 $195
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