The following form will ask you a number of questions. You only need to answer as many questions as you can. A Z Patent will contact you if it needs more information. Please note that in order to use this fast and low-cost service, you must agree on the terms and conditions by "signing" (typing) your full name in the first box immediately following this agreement in the bottom. A Z Patent will disregard your order if you do not type your names in the box.

1. Enter the date on which you plan to start your business operation. Please note that states impose fines upon businesses for conducting business under a legal entity name while it has not be officially registered.

   Start Date: -- mm/dd/yy

2. Please provide your name and street address (mail address), where you must be able to respond to all correspondences with A Z Patent.

   Name:	Title:
   Organization:
   Address:
   City:	State AL AK AR AS AZ CA CO CT DC DE FL GA IA ID IL IN KS KY LA MA MD ME MI MN MS MO MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VI VT WA WI WV WY Zip Code:
   Country:
   Phone:	Fax:
   E-mail:




3. Please enter the street address where your corporate principal office will be located (referred to as Principal Address hereinafter).

   Use Mail Address Use the following
   Street Address:
   City:	State AL AK AR AS AZ CA CO CT DC DE FL GA IA ID IL IN KS KY LA MA MD ME MI MN MS MO MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VI VT WA WI WV WY Zip Code:
   Country:




4. Please enter other street address where your new company will conduct its business.

   Use Mail Address Use Principal Address Use the following
   Street Address:
   City:	State AL AK AR AS AZ CA CO CT DC DE FL GA IA ID IL IN KS KY LA MA MD ME MI MN MS MO MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VI VT WA WI WV WY Zip Code
   Country:




5. If you have or have found a resident agent who must be of legal age AND reside in the state of incorporation, please select Yes and enter the name field and fill his address below. If you do not have an agent, please check the box for No. In this case, A Z Patent will find a commercial agent for you. Such agent does the job for you for $50 to $75 annually.

   Yes No (if you elect Yes, type the name in the box)
   

6. Please enter the street address of your resident agent (e.g., registered agent) who will accept service of process.

   Use principal address Use business address Use the following
   Street Address:
   City:	State AL AK AR AS AZ CA CO CT DC DE FL GA IA ID IL IN KS KY LA MA MD ME MI MN MS MO MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VI VT WA WI WV WY Zip Code:




7. Please enter three names, along with entity notation (e.g., Inc., Corp. and L. L. C.) that you have selected, for your new business entity in the order of your preference. If you do not know about entity, just type in the name without entity notation.

   First Choice:

   Second Choice:

   Third Choice:

8. Which state do you want to have your business incorporated?

   Select A State AL AK AR AS AZ CA CO CT DC DE FL GA IA ID IL IN KS KY LA MA MD ME MI MN MS MO MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VI VT WA WI WV WY

9. Please describe the activities of your business in detail. General description may be insufficient under some corporate statutes. Also, your information will help A Z Patent point out other important legal issues.

10. What legal entity would you propose for your business? Please note A Z Patent will change it if youranswers below are clearly incompatible with your choice.

    Stock Corporation Non-stock Corporation Close Corporation Club Association Religion Organization Limited Liability Company Partnership Limited Liability Partnership Other

11. Please type in your second choice of legal entity.

    Stock Corporation Non-stock Corporation Close Corporation Club Association Religion Organization Limited Liability Company Partnership Limited Liability Partnership Other

12. Does your business fall within one of the regulated professions such as law, medicine, certified public accounting, dentistry, professional engineering, and architect?

    Not Applicable Attorney Architect Certified Public Accountant Chiropractor Dentist Licensed Real Estate Broker Licensed Real Estate Salesperson Osteopath Physician Podiatrist Professional Engineer Psychologist Veterinarian

13. Would you like to elect S corporate status for federal tax benefits? Please note that election of S corporation status can help you avoid double taxes.However, it will impose, among other things, some restrictions on the ownership of stock, the structure of stock and management.

    Yes No

14. Select the type of stock you want to have for your corporation. Note if you elect S Corporate status, you are allowed to issue only one class of stock (e.g., common stock).

    Common Stock Preferred Stock



15. How many shares shall your company have the authority to issue for each class of stock? This is the maximum number of shares the company have the authority to issue while the company can issues part of the shares in a given period. A large number may increase either corporate entity annual filing fees, annual renewal fees, or franchise fees (if it is incorporated in a foreign state like Delaware).

    Common Stock: Preferred Stock:

16. How many shareholders will your new company have at the most? Please note that some states limit it to 35 for close corporations. Also, INS imposes its own limit for qualifying S corporation for tax purposes.

17. What might be the smallest number of shareholders of your new company?

18. Is you company interested in going public? If you plan to go public,you should not elect S corporate status.

    Yes No

19. Would you like to have a board of directors? For normal businesses, a board is recommended. For informal business entities such as a close corporation, it is easy to manage them without boards.

    Yes No

20. If you have elected to have a board of directors in your corporation,how many members of directors would you like to have on the initial board?

21. If you have elected to set up a board, please enter names and addresses of each of the initial board directors.

    Use Principal Address Use Business Address Use the following
    Director Name:	Title:
    Street Address:
    City:	State AL AK AR AS AZ CA CO CT DC DE FL GA IA ID IL IN KS KY LA MA MD ME MI MN MS MO MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VI VT WA WI WV WY Zip Code

    
    

    Use Principal Address Use Business Address Use the following
    Director Name:	Title:
    Street Address:
    City:	State AL AK AR AS AZ CA CO CT DC DE FL GA IA ID IL IN KS KY LA MA MD ME MI MN MS MO MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VI VT WA WI WV WY Zip Code

    
    

    Use Principal Address Use Business Address Use the following
    Director Name:	Title:
    Street Address
    City:	State AL AK AR AS AZ CA CO CT DC DE FL GA IA ID IL IN KS KY LA MA MD ME MI MN MS MO MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VI VT WA WI WV WY Zip Code




22. If you do not elect to set up a board, would you like to confer the power to appoint corporate offices to a shareholder who owns more than 50% of the outstanding shares?

    Yes No

23. If you limit your company's life to a fixed term, please enter the number of years or the expiration date. Leave it blank for perpetual duration.

24. Please select a date that will be the end of the fiscal year of your business for accounting purposes.

25. Would you like to have branch offices in one or more states other than the state where your business will be incorporated?

    Yes No

26. What might be the minimum amount of capital investment available to your new company? Some states require that a minimum capital invested in the business before it is allowed to do business under an entity name.

27. Would you like to include a cumulative voting provision that provides minority shareholders meaningful voting power?

    Yes No

28. Do you have any reason to state in the Articles that it is NOT amendable. Otherwise, a clause for amending articles is automatically included in the Articles.

    Yes No

29. If you want to make a special arrangement in distributing corporate assets when it is dissolved, please describe it as clearly as possible.

30. Please enter payment methods: indicate personal check or credit card (sending in credit card number by fax or phone).

31. Reserved.

    -- mm/dd/yy

32. Choose a filing service for filing your Articles of Incorporation.

    Regular Service Expedited Service Priority Service Highest Priority Service

33. If you choose to file articles of incorporation by yourself, please select a method for sending the paper back to you.

    1. By email, please provide an email address and specify file format.
       Email Address:

       File Format: Word 6.0 Word 2000 Rich Text Format WP 8.0

    2. By US mail (select an address)

       Use Mail Address Use Principal Address Use Business Address

AGREEMENT: I agree to buy the service as an ordinary information service rather than legal service.Accordingly, I pay only nominal processing fees rather than prevalent attorney fees. I will get Articles of Incorporation, a checklist, and email support on starting up my business. From reading the full disclosure in SELF-HELP CORNER on www.atozpatent.com, I understand that I will not get the same level personal attention as I would from seeking legal services. I further understand I have the choice to buy legal services from A Z Patent Law Firm or other law firms to start up my business. I elect this service to avoid legal fees. I have been advised that this non-law service is useful in five situations, and I have the duty to amend the paper if changed circumstances makes it necessary. I agree that A Z Patent's full satisfaction money back guarantee is the sole remedy in lieu of all other remedies and warranties. A Z Patent expressly disclaims the warranty of implied or general merchantability and the warranty of fitness for a particular purpose. I further agree that, in any event, A Z Patent's liability, if any, is limited to the amount of the fees I actually paid. By typing my name in the following box, I express my consent to above terms.

Date: -- mm/dd/yy