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LLC ORDER FORM

DATE _______01/07/2011_____________________

SELECTED NAME OPTIONS FOR LLC

1. _MOUNTAINS EDGE LLC______________________________________________________

2. __FREE SPIRIT LLC ______________________________

3. __COUNTRY APPLE GREEN LLC___________________________________________

NAME OF APPLICANT(S)___PATRICIA ANN BOWMAN ________________________________

ADDRESS TO MAIL DOCUMENT ___635 RIO ST ____________________________________

CITY__RED BLUFF______________________ STATE ___CA_____ZIP_____96080_______________

PHONES(S) ___530-529-0622____CELL __217-358-5008___FAX_______________________

E-MAIL ADDRESS ___P BOWMAN1211@GMAIL.COM____________________________

I AM ORDERING THE ITEMS CHECKED BELOW

LLC and Bank Account __X_____ TOTAL COST $2350.00_____X___


Includes 2 day expidite
N0N-REFUNDABLE___PB______(Initial Here)

METHOD OF PAYMENT: CHECK ONE

Wire Transfer ____________ DIRECT DEPOSIT INTO BOA ____X____

BANK ACCOUNT INFORMATION

ADDRESS TO GIVE BANK ______________________________________________________________________

CITY _______________________________________ STATE _______________ ____ZIP____________________

FULL NAME OF SIGNER(S) ON ACCOUNT :

1. ___PATRICIA BOWMAN __________________________________

2. ___MICHAEL BOWMAN______________________________________________________________________
Bank requires 2 ID’s for each signer, one ID must be a photo

The information on this order is correct.


I understand that the Consultant is not an attorney and is not giving legal advice.

SIGNATURE OF CLIENT____PATRICIA BOWMAN_____________________________________

Under the Patriot Act compliance requires all banks to verify the personal identity of all signers at the
opening of a bank account. Consequently, you will be required to be present at the time the account is
opened in Albuquerque, New Mexico.

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