253
APPLICATION FOR CERTIFICATE
OF AUTHORITY FOR FOREIGN
LIMITED LIABILITY COMPANY
(Instructions on back of application)
1. The name of the limited liability company is:
_____________________________________________________________________
2. If the name of the limited liability company is not permissible or is not available in Idaho, the
name the foreign limited liability company will use in Idaho is:
_____________________________________________________________________
3. The jurisdiction under whose laws the limited liability company is formed is: ___________
4. The name and complete street address of the registered agent in Idaho is:
__________________________
_________________________________________
5. The street and mailing address of the limited liability company's principal office is:
_____________________________________________________________________
Street Address
_____________________________________________________________________
Mailing Address, if different
6. The street and mailing address of the limited liability company's office in the jurisdiction
under whose laws it is organized is:
_____________________________________________________________________
Street Address
_____________________________________________________________________
Mailing Address, if different
7. The name and mailing address of at least one member or manager:
__________________________
_________________________________________
8. The mailing address for future correspondence:
____________________________________________________________________
Secretary of State use only
9. Signature of a manager, member or authorized
person.
Signature
Typed Name
cert_auth_foreign_LLC Rev. 07/2010