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                 www.sos.ks.gov
                                                                                               THIS SPACE FOR OFFICE USE ONLY.

                                                                                                              Phone
 1.   Contact name and 
  daytime phone number:

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

 3.   Document type:                   o Plain Copy Articles & Amendments *              o Certified Copy Articles & Amendments *
 Plain copies = $20 per document.                                  Date Filed                                                         Date Filed
                                       o Plain Copy Amendment                            o Certified Copy Amendment
 Certified copies = $35 per 
 document.                                                         Type of Amendment                                                  Type of Amendment
 Credit card = $5 minimum for  
 all credit card orders.
                                                                   Fiscal Month/Year                                                  Fiscal Month/Year
 $1 per page to fax pages back.        o Plain Copy Annual Report                        o Certified Copy Annual 
                                                                                                 Report
 Document cannot be emailed.
                                       o No Business Entity on File Letter (FREE)        o Certificate of Fact of Forfeiture ($20)
 * Includes original articles and all 
 subsequent amendments filed to                                                                                                       Date of Fact
 the date of copy request. If articles o Certificate of No Business Entity on File ($20) o Certificate of Fact ($20)
 have been restated, includes latest 
 restated articles and subsequent                                                        Fact to be stated (clerk may call to clarify)
 amendments from date of restated 
 articles unless otherwise indicated.  o Certificate of Good Standing ($15)

                                                   Number of copies
o I need multiple copies of this order:

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

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

     K.S.A. 17-7506                                                                            Please continue to next page.
     Rev. 6/30/23 tc   
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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

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

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

     K.S.A. 17-7506                                                                Please review to ensure completion.
     Rev. 6/30/23 tc   
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