Application For Certificate Of Authority Of Foreign Limited Liability Company
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Application For Certificate Of Authority Of Foreign Limited Liability Company Form. This is a Indiana form and can be use in Corporations Secretary Of State.
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Tags: Application For Certificate Of Authority Of Foreign Limited Liability Company, 49464, Indiana Secretary Of State, Corporations
APPLICATION FOR CERTIFICATE OF AUTHORITY
OF A FOREIGN LIMITED LIABILITY COMPANY
State Form 49464 (R4 / 4-12)
Approved by State Board of Accounts, 2007
Indiana Code 23-18-11-4 et seq.
NOTES:
CONNIE LAWSON
SECRETARY OF STATE
Mail to the following address:
BUSINESS SERVICES DIVISION
302 W. Washington Street, Room E018
Indianapolis, Indiana 46204-2700
Telephone: (317) 232-6576
www.sos.in.gov
1. An Original Certificate of Existence duly authenticated by the proper authority from corporations
domicilary state within the last sixty (60) days must be submitted with this application.
2. A Registered Agent with an Indiana street address (not a PO BOX) must be listed in ARTICLE II.
INSTRUCTIONS:
1. Use 8-1/2" x 11" white paper for attachments.
2. Present original and one (1) copy to the address on upper right corner of this form.
3. Please TYPE or PRINT.
4. Please visit our office on the web at www.sos.in.gov.
Filing Fee: $ 90.00
Make check or money order
payable to Secretary of State
APPLICATION FOR CERTIFICATE OF AUTHORITY
OF
A FOREIGN LLC
TO TRANSACT BUSINESS IN THE STATE OF INDIANA
The undersigned manager or member of the above ______________________________________________________________ LLC
(State of Domicile)
desiring to effectuate the admittance of the LLC to transact business in the State of Indiana, under the name of
_________________________________________________________________________________ certifies the following facts:
(if using a fictitious business name, please specity the name above)
ARTICLE I: NAME AND PRINCIPAL OFFICE
Name of LLC (This must be identical to name shown in Articles of Organization and Amendments thereto.)
Address of the principal office of LLC (number and street, city, state, and ZIP code)
ARTICLE II: REGISTERED OFFICE AND REGISTERED AGENT
Name of the registered agent of the LLC
Indiana address of the registered office of LLC (number and street, city, state, and ZIP code)
ARTICLE III: DATE OF ORGANIZATION AND DURATION OF EXISTENCE
Date of organization in domicilary state (month, day, year)
Expected period of duration listed in the Articles of Organization (month, day, year or perpetual)
ARTICLE IV: MANAGEMENT
The Articles of Organization state that the LLC is to be managed by its members.
The Articles of Organization provide for a manager or managers.
In witness whereof, the undersigned being the___________________________________________________ of said LLC executes this
(Manager or member)
Application for Certificate of Authority, and verifies subject to penalties of perjury, that the facts contained herein are true this
__________________day of __________________________ , 20_______.
Signature
Printed name
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