kansas secretary of state                                                                                            FAX OR MAIL ONLY
              Copy Order
 CO           Request Form
                                                                                                             Print     DO NOT EMAIL FORM                       Reset
                                                                                                             Please complete the form, print and mail to the Kansas 
                                                                                                             Secretary of State with the filing fee.  Selecting 'Print' 
Memorial Hall, 1st Floor                                   (785) 296-4564                                    will print the form and 'Reset' will clear the entire form.
120 S.W. 10th Avenue                                       Fax: (785) 296-4570 
Topeka, KS 66612-1594                                      sos.ks.gov
                                                                                                                       THIS SPACE FOR OFFICE USE ONLY.

1.   Contact name and                                      Name                                                                    Phone
  daytime phone number:

2.   Business entity name                                  Entity Name                                                             ID Number (Not FEIN)
  and Kansas ID number:
  Not FEIN

                                                           o 
3.   Document type:                                          Plain Copy Articles & Amendments*               o Certified Copy Articles & Amendments*
Plain copies = $1 per page.
Certified copies = $15 for                                 o Plain Copy Amendment                            o Certified Copy Amendment
certification + $1 per page.
                                                           Date Filed                                        Date Filed
Credit card = $5 minimum for  
all credit card orders.
                                                           Type of Amendment                                 Type of Amendment
$1 per page to fax pages back.

Document cannot be emailed.
                                                           o Plain Copy Annual Report                        o Certified Copy Annual Report
*Includes original articles and 
all subsequent amendments                                  Fiscal Month/Year                                 Fiscal Month/Year
filed to the date of copy request. 
If articles have been restated, 
includes latest restated articles 
and subsequent amendments 
from date of restated articles                             o No Business Entity on File Letter (FREE)        o Certificate of Fact of Forfeiture ($20)
unless otherwise indicated.
                                                                                                                                                   Date of Fact
                                                           o Certificate of No Business Entity on File ($20) o Certificate of Fact ($20)

                                                                                                             Fact to be stated     (clerk may call to clarify)
                                                           o Certificate of Good Standing ($15)

                                                           Number of copies
o I need multiple copies of this                                              o  I need these copies apostilled/authenticated for: Country
  order:                                                                      (include an additional $7.50 for each document)

4. Payment Method:
  Credit card:                                             Credit Card Number                                Expiration            Billing Zip Code
                                                                                                             Date (MM/YY)
  ($5 minimum for all credit 
  card orders)

      K.S.A. 17-7506                                                                                                   Please continue to next page.
1 / 2 Rev. 2/1/21 nw   

5.   Please indicate preferred delivery method:  

                                                  FedEx Account Number                UPS Account Number
   o Regular mail                    o FedEx                                    o UPS

       Delivery address:        Attention Name

                                Company/Firm Name

                                Address

                                City                                            State Zip Code

  o Fax:
  $1 per page to fax pages back 
  Note: Paper copies will also be mailed if mailing address is provided.
  Fax Number                    Fax Attention Name

  o Will pick up in the Secretary of State’s Office                             

      K.S.A. 17-7506                                                                  Please review to ensure completion.
2 / 2 Rev. 2/1/21 nw