PA-Basic Formation Service - M. BURR KEIM COMPANY

Brief Statement of Purpose (required for docketing statement)

Registered Agent Name:

Tax Report Individual Name

FEIN - Legal name of the responsible person

Social Security Number

When does the entity expect to begin paying wages (mm/yr)?

The estimated costs are as follows:

Pennsylvania State Filing Fee	$125.00
Checking Availability of Name	$10.00
M. BURR KEIM COMPANY Service Fee	$95.00
Obtain FEIN	$50.00
Limited Liability Company Outfit	$82.50

Estimated Total

Price: $0.00

Special Instructions

This field is for validation purposes and should be left unchanged.

ONLINE WORKSHEET FOR ORGANIZING A PENNSYLVANIA LIMITED LIABILITY COMPANY