State of Utah DEPARTMENT OF COMMERCE Division of Corporations & Commercial Code Application for Business Trust Non-Refundable Processing Fee: [ ] New Filing $22.00 WARNING: The filing of this name does not guarantee exclusive right to nor protection against unauthorized use of this name (U.C.A. Sections 16-15-103). When approved, your Business Trust is registered for 3 years. The last words of the business name must be "BUSINESS TRUST". Business Name: Duration: Nature of Business: Registered Office in Utah: (Utah Street Address Required, PO Boxes can be listed after the street address) _________________________________________________________________________ _________________________________________________________________________ City: ____________________________________________ State: ___________ Zip: _______________ Registered Agent Name: Registered Address: (Utah Street Address Required, PO Boxes can be listed after the street address) Signature: _______________________________________________________ _______________________________________________________ City: ____________________________________________ State: ___________ Zip: _______________ Authorized Trustee: List the individual or business entity that will act as the Trustee for on the name line. Name: __________________________________________________________________________________ Entity Number (if a registered business): _______________________________________________________ Address: ________________________________________________________________________________ City: _____________________________________________________ State: ________ Zip: ____________ Under penalties of perjury, I declare that this Business Trust Application has been examined by me and is, to the best of my knowledge and belief, true, correct and complete. Signature: Authorized Trustee: List the individual or business entity that will act as the Trustee for on the name line. Name: _______________________________________________________________________________ Entity Number (if a registered business): ____________________________________________________ Address: _____________________________________________________________________________ City: _____________________________________________________ State: ________ Zip: ____________ Under penalties of perjury, I declare that this Business Trust Application has been examined by me and is, to the best of my knowledge and belief, true, correct and complete. Signature: IF NEEDED, YOU MAY USE AN ATTACHED SHEET FOR ADDITIONAL TRUSTEES Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes, you may use the business entity physical address rather than the residential or private address of any individual affiliated with the entity. American LegalNet, Inc. www.FormsWorkflow.com