Servico.com - Research, Retrieval and Process Services

To place an order for Professional Service Entities (PC, PLLC, LLP), please complete and submit the following worksheet.

In order to keep your credit card transaction secure, please contact our Corporate Department at: 518-463-4179 or Toll Free 800-828-4428 (NYS residents only) and supply us with your credit card information. If not paying by credit card, send Certified or Attorney Check with the applicable fee to:

Servico, Inc.
P.O. Box 871
Albany, N.Y. 12201

Your Name

Firm Name

Address

Phone

Fax (if available)

Email

3 Choices of PC Name (in order of preference)

Name of Profession (i.e. law, medicine, etc .)

*if law, you'll need a good standing from the appellate division

Names, Addresses, and License Numbers of Professionals

Service of Process Address

County (principal business)

Stock Structure (PC Only - 200/npv)

Management By: (if PLLC or LLP)
1 or more or a class of members 1 or more or a class of managers

Duration: (if PLLC or LLP)
(Give latest date of dissolution below) Perpetual

Latest Date for Dissolution: (mm/dd/yyyy)

How would you like to be contacted
Email	Phone	Fax

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