Business Formation and Registered Agent Services Intake Form Contact Name * First Name Last Name Business Email * Business Phone * (###) ### #### Business Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Entity Type * LLC Corporation Partnership Sole Proprietorship Other (please explain in "Additional notes" section at bottom) Desired Legal Business Name * Please include entity type suffix, such as "Inc." or "LLC." Business dba Name Please provide your dba name if different from your entity's legal name. Which of the following best describes your business? * New business Established in another state (just new to Washington) State of Incorporation * If you already incorporated outside of Washington, please let us know which state. If you are a new business, please select N/A. N/A Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Please briefly describe your business (in terms of services, products, etc.) * Any additional notes for us? Terms of Service * By checking this box, you confirm that you are at least 18 years old and agree to our website's Terms of Service (linked in the website footer). I agree Consent for Secretary of State Online Filing * By checking this box, you understand that the Washington Secretary of State charges a $200 filing fee for online Certificate of Formation applications. You consent to Simply Registered Agent charging this additional one-time $200 fee and filing on your behalf. I agree Thank you!