Application For Certificate Of Authority (Foreign Profit, Nonprofit, Bank Or General Business Trust T.11a) Form printable pdf download

Application For Certificate Of Authority (Foreign Profit, Nonprofit, Bank Or General Business Trust T.11a) Form

Application for Certificate of Authority

(Foreign profit, nonprofit, bank or general business trust T.11A)

Vermont Secretary of State, 128 State Street Montpelier, VT 05633-1104 802-828-2386

CORPORATE NAME

Created and existing under the laws of: :

Date of Incorporation:

Profit corporation

Non-profit corporation

General purpose:

Principal Office Address:

City

State

Zip Code

NAME OF REGISTERED AGENT:

Registered office address:

City

VERMONT

Zip Code

december

The Fiscal month:

Note: December will be designated unless stated differently.

Annual reports are filed online 2 1/2 months after the close of the fiscal year.

FOREIGN BANK AUTHORITY.

Name of deceased individual:

NAME and ADDRESS of current officers and directors:

Pres

V.P.

Sec.

Trea

Dir.

The person submitting this form should enter his or her name and title and sign:

Printed Name

Title

Signature

________________________________________________

________Date:

NOTE:

$100. fee and a certificate of good standing, dated within 30 days of filing, must be attached to application.

File in duplicate with self-addressed envelope. Filing is effective upon acceptance.

Application For Certificate Of Authority (Foreign Profit, Nonprofit, Bank Or General Business Trust T.11a) Form