Form 236 - Application For Certificate Of Authority For Foreign Corporation
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1OFFICE OF SECRETARY OF STATE
CORPORATIONS DIVISION
237 Coliseum Drive
Macon, Georgia 31217
(404) 656-2817
Registered agent, officer, entity status information via the Internet
sos.georgia.gov/corporations
Brian P. Kemp
APPLICATION FOR CERTIFICATE OF AUTHORITY
Secretary of State
FOR FOREIGN CORPORATION
IMPORTANT
Remember to include your e-mail address when completing this transmittal form.
Providing your e-mail address allows us to notify you via e-mail when we receive your filing and when we take
action on your filing. Please enter your e-mail address on the line below. Thank you.
E-Mail: _____________________________________________________________________
N O T I C E T O AP P L I C AN T : P R I N T P L AI N L Y O R T Y P E R E M AI N D E R O F T H I S F O R M
1.
Corporate Name
Name Reservation Number ( O p t i o n a l )
Date business commenced (or proposed) in Georgia
(NOTE: If the date provided here is more than 30 days prior to the date the application is
received by the Secretary of State, a $500 penalty must be paid; penalty is statutory and cannot be waived by Secretary of State.)
2.
Name of filing person (certificate will be mailed to this person, at address below)
Telephone Number
Address
City
State
Zip Code
3.
Principal Office Mailing Address (may be P.O. Box)
City
State
Zip Code
4.
Name of Registered Agent in Georgia
Registered Office Street Address in Georgia (Post office box or mail drop not acceptable for registered office address)
GA
City
County
State
Zip Code
5.
Circle/Check ONE
Jurisdiction
Date of Incorporation in home state:
(Home State or Country)
PROFIT
NONPROFIT
6.
Officer / CEO
Address
City
State
Zip Code
Officer / CFO
Address
City
State
Zip Code
Officer / SEC
Address
City
State
Zip Code
7. NOTICE: Mail or deliver the following items to the Secretary of State at the above address.
(1)
Original and one copy of this application
(2)
An ORIGINAL certificate of existence or good standing, not more than 90 days old, certified by the home state or country. Certificate from home
state may not be more than 90 days old. (Copy of articles of incorporation from home state should NOT be submitted)
(3)
Filing fee of $225.00 payable to “Secretary of State.” Filing fees are NON-refundable.
Authorized Signature
Date
FORM 236
Request certificates and obtain entity information via the Internet:
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