Payment for Florida Annual Report Filing - Profit Corporations.
If you don't have any changes you don't have to fill out all information. Just write no changes required.
 

Company Name (required):	.
Principal Place of Business:	.
City, State, Zip:	.
Mailing Address:	.
City, State, Zip:	.
TOTAL:	.

.
New Resident Agent Information (fill out only if there is change)

Name:	.
Street Address (No P.O. Boxes)	.
City, State, Zip:	.
Signature of new resident agent:	.

.
1. List all Officers and Directors.

Title:	.
Name:	.
Street Address	.
City, State, Zip:.	..

2. List all Officers and Directors.

Title:	.
Name:	.
Street Address	.
City, State, Zip:	.

.
3. List all Officers and Directors.

Title:	.
Name:	.
Street Address	.
City, State, Zip:	..

I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my signature shall have the same legal effects as if made under oath; that I am an officer or director of corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statues; and that I am currenly officer or director of above named corporation.
 

Officer/Director Signature: ____________________________ Type your name here:_______________________

The annual report will be filed electronically and you authorize EastBiz.com, Inc. to do electronic filing on your behalf.
 

Requested Services:
State fee for Annual Report Filing: ___ $150.00
State fee for Certificate of Status ____ $  8.75
Late Fee ____ $  400
Our fee: $10
___________________________
TOTAL: $__________