Cover Letter Template Registration Section Division Of Corporations Page 3
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Signature of Member or Authorized Representative of Limited Liability Company:
Individual signing affirms that the facts stated in this document are true. Any false information
constitutes a third degree felony as provided for in s.817.155, F.S.
Signature of Member or Authorized Representative :
Printed Name:
Title:
Signature(s) on behalf of Other Business Entity: Individual(s) signing affirm(s) that the facts stated in
this document are true. Any false information constitutes a third degree felony as provided for in
s.817.155, F.S. [See below for required signature(s).]
Signature:
Printed Name:
Title:
Signature:
Printed Name:
Title:
Signature:
Printed Name:
Title:
Signature:
Printed Name:
Title:
Signature:
Printed Name:
Title:
Signature:
Printed Name:
Title:
If Florida Corporation:
Signature of Chairman, Vice Chairman, Director, or Officer.
If Directors or Officers have not been selected, an Incorporator must sign.
If Florida General Partnership or Limited Liability Partnership:
Signature of one General Partner.
If Florida Limited Partnership or Limited Liability Limited Partnership:
Signatures of ALL General Partners.
All others:
Signature of an authorized person.
Fees:
Certificate of Conversion:
$25.00
Fees for Florida Articles of Organization:
$125.00
Certified Copy:
$30.00 (Optional)
Certificate of Status:
$5.00 (Optional)
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