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New Entity Intake Form

PRIMARY SHAREHOLDER/ OWNER INFORMATION
SECOND SHAREHOLDER/ OWNER INFORMATION
THIRD SHAREHOLDER/ OWNER INFORMATION
ENTITY SET-UP INFORMATION
ALL ENTITY NAME(S) MUST BE CHECKED & CLEARED
NOTE: If the primary name is approved by Sec. of State, no further name will be verified.
RESIDENT AGENT INFORMATION
(Additional Fees May Apply)
Must be a member of the entity OR A CERTIFIED SERVICE PROVIDER ONLY
ENTITY ADDITIONAL INFORMATION
ENTITY ESSENTIALS
Your technology is an important part of your company's branding and setup. Remember, whatever name is cleared through the state MAY NOT be available for domain registration. To search for your domain and social media go to www.whatsmyname.app
ORDER AUTHORIZATION
- I am the registrant, and I am authorizing OWN BUSINESS PLUS and /or their third-party affiliates to submit said statement for filing. I understand that if I willfully make false statements on this affidavit, I may be punished by fine not to exceed one thousand dollars ($1000).
- I also declare that I am authorizing the agent, Optimal Wealth Network, Inc. and / or its third-party affiliates to submit the necessary documents on my behalf.
- I understand that the invoice from OPTIMAL WEALTH NETWORK, INC., must be paid in full prior to initiating the selected Service Package and State filing fees.
- USER UNDERSTANDS THAT ALL SALES ARE FINAL AND NON-REFUNDABLE
