Application For Registration Of Corporate Name (A For Profit Foreign Corporation) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Application For Registration Of Corporate Name (A For Profit Foreign Corporation) Form. This is a New Hampshire form and can be use in Corporation Secretary Of State.
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Tags: Application For Registration Of Corporate Name (A For Profit Foreign Corporation), 5, New Hampshire Secretary Of State, Corporation
Please Note
Application for Registration of Corporation Name (Form 5) is ONLY
used to protect the Names of Corporations that are NOT transacting
business in New Hampshire.
To qualify to do business in New Hampshire, you must file an Application
for Certificate of Authority (Form 40).
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Registration fee: $25.00
Use black print or type.
Leave 1" margin both sides.
Form 5
RSA 293-A:4.03
APPLICATION FOR REGISTRATION OF CORPORATE NAME
(A FOR PROFIT FOREIGN CORPORATION)
PURSUANT TO THE PROVISIONS of the New Hampshire Business Corporation Act, the undersigned
corporation hereby applies for the registration of its corporate name to and including December 31, _____
and submits the following statement:
FIRST: The name of the corporation is
.
SECOND: It is incorporated under the laws of
.
THIRD: The date of its incorporation is
.
FOURTH: It is carrying on or doing business.
FIFTH: The business in which it is engaged is
.
SIXTH: This Application is accompanied by: (a) a certificate setting forth that the corporation is in good
wherein it is incorporated, executed by the
standing under the laws of
official having custody of the records pertaining to corporations in that state or territory; and (b) a
registration fee of $25.00 as required by such Section 1.22. (Note 1)
(Note 2)
(Corporation Name)
(No.)
(Street)
(City/Town)
(State)
(Zip Code)
(Note 3)
(Telephone Number)
(Signature)
(Print or type name)
(Note 3)
(Title)
Date signed:
Notes: 1. Fee is $25.00, between date of filing application and the next December 31.
2. Exact corporate name and address of corporation making the application.
3. Signature and title of person signing for the corporation. Must be signed by the chairman of
the board of directors, president or another officer; or see RSA 293-A:1.20(f) for alternative
signatures.
DISCLAIMER: All documents filed with the Corporation Division become public records and will be available for
public inspection in either tangible or electronic form.
Mail fee with DATED AND SIGNED ORIGINAL WITH ORIGINAL CERTIFICATE OF GOOD STANDING to:
Corporation Division, Department of State, 107 North Main Street, Concord NH 03301-4989. Physical location: 25
rd
Capitol Street, 3 Floor, Concord, NH 03301.
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Form 5 (2/2009)