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. 10 5/ /23 tc
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5. Please indicate preferred delivery method:
                                              FedEx Account Number
o     Regular mail:             o    FedEx

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. 10 5/ /23 tc
2 / 2