Casler Law Office, PLLC, 12725 W. Indian School Road, Suite E-101, Avondale, Arizona 85392  |  Phone: 602-255-0101

Pay Billing Statement (SECURE)

FEE SCHEDULE: The fee is only $55.00 per year and renewed automatically each year until canceled in writing, plus $5.00 for each notice received and forwarded (if any) and $10.00 for each court document received and forwarded (if any). Copying charges, long distance telephone charges, postage and other expenses (if any) will be billed to this account.   Business agrees to notify this office of changes (address, phone, etc.) within ten days.  

ONLINE: Sorry, because the Arizona Corporation Commission and Arizona Secretary of State require original signatures on this form; this form cannot be submitted online.  Please either Mail of Fax this completed form.

Mail $55 check and copy of this form to:

Casler Law Office, PLLC

12725 W. Indian School Road, Suite E-101

Avondale, Arizona 85392

OR

Print and Fax this form to: Casler Law Office, PLLC, 602-255-0431 (secure fax)

PRINT: To print this form, right click your mouse and select “Print” or, from the menu bar, click on “File,” and then “Print” or click the “Print” icon on your menu bar.

This business hereby notifies the Arizona Corporation Commission and/or the Arizona Secretary of State (for partnerships) that henceforth its Statutory Agent shall be Carlton C. Casler, of the Casler Law Office, PLLC, 12725 W. Indian School Road, Suite E-101, Avondale, Arizona  85392; phone: 602-255-0101.

           Name (print)                      Signature                           Title                 Date

I authorize a $55.00 charge to the following charge card for statutory agent services:

           Name (print)                      Signature                           Title                 Date

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