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Fax Cover Letter
To: Utah Division of Corporations & Commercial Code
Fax #: (801) 530-6438
Date: ___________________________
Pages: __________________________
Filing Type: Business Filing UCC/CFS Filing Other
Credit Card Type: _
Credit Card #: _____________________
Credit Card CSV#: ______________
Credit Card Exp Date: _______________
Cardholder Name: _____________________
Billing Zip Code: ____________________
To Be Receipted To: _____________________
Contact Name: __________________________
Contact Phone #: ______________________
Contact email: __________________________________________
Please Expedite This Filing (Additional $75.00): Yes No
(If a selection is not made, it will be understood that the filing is not to be expedited)
Please fax back to me confirmation of filing ($5.00 plus $1.00 per page): Yes No
(If a selection is not made, it will be understood that the filing will not be faxed back to me)
Contact Fax #: ______________________
I authorize the Division of Corporations to charge my credit card
Comments:
Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes, you
may use the business entity physical address rather than the residential or private address of any individual affiliated with the entity.
State of Utah
Department of Commerce
Division of Corporations & Commercial Code
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