NEVADA ANNUAL STATEMENT
PUBLICATION FORM
Use this form if you are paying by credit or debit card.
Please enter all information in the appropriate boxes below.
Note: Annual Statements must be published each calendar year.
Our fee for publishing one company's Annual Statement is
$40.00
Statement to be published during:
2025
Company Name .............................
Company Officer Name ................
One
Title of Company Officer ......
Company Principal Address ........
Principal Address City State Zip .
NV Registered Agent Address ....
Registered Agent City State Zip ..
Upon publication a
Certification of Publication
will be sent to you by first class mail.
Please tell us where to send the Certification.
(The following information is not published.)
Contact Name
Contact Company Name
Contact Address
Contact City State Zip
Contact email
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