Illinois Registered Agent, Inc.

REQUIRED INFO FORM

This is information that we will need to service your account.

All fields must be completed.  If the field does not apply to you then insert n/a

Entity type (i.e. Corp, LLC, NFP, LP)
Company name
Mailing address (include City, State and Zip)
Principal office address (Include City, State and Zip)
Email address for Service of Process contact
Who do we contact for Service of Process?
Phone number for Service of Process contact
Who do we contact regarding State correspondence?
Email address for State correspondence contact
Phone number for State correspondence contact:
State of Formation
Alternate company name ( in the event the name is not available in Illinois)
What document do you intend to file in Illinois?
Do you need to discuss your situation with us?
Do you have special instructions for us?
Upon Successful Sumbission:
Click here to return to Service Fee Page.