LIMITED LIABILITY COMPANY (LLC) Registration Form

LIMITED LIABILITY COMPANY (LLC) Registration Form

$500.00
Date

MonthDayYear
Date
LLC Entity Name*
Description of Business*
(Product/Service Offered)
Member First Name*
Member Middle Name/Initial
Member Last Name*
Business Email*
example@example.com
Business Mailing Address (PO Box allowed)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone Number*

Area CodePhone Number
Georgia Registered Agent*

First NameMiddle NameLast Name
Georgia Registered Agent Address (no PO Box allowed)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County Registered Agent Resides In*
County located in Georgia
Three (3) Alternate Names For the LLC
Social Security Number*: Members must call our office (404) 541-6551 to provide the sole member's social security number. The form is not complete until this information is provided.

Single Member LLC Authorization:

By signing below you acknowledge that you are the sole member of the LLC and all information above is correct. Furthermore, you acknowledge that the LLC will be filed as a single member LLC (disregard entity taxation) based on the information provided in this form. The registration fee is $500 and includes all filing fees. The normal processing time is 7-10 business days. Expedited filings are available for an additional fee.

Form is not complete until payment is made.
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