Looking for a Alaska Legal Forms And Templates? Download it for free!

Form 08-4178 - Cpa Limited Liability Company (Llc) Registration And Permit To Practice Page 2

A COPY OF THE CERTIFICATE OF ORGANIZATION AND

A COPY OF THE ARTICLES OF ORGANIZATION MUST ACCOMPANY THIS APPLICATON

Names and Certificate Numbers of Members Holding Alaska Certificates

Name

Title

Certificate Number

Names and Certificate Numbers of All Other Members (use additional paper if necessary)

Name

Title

Certificate Number

We certify that all requirements for registration of a limited liability company have been met and that the permit to practice

will be used only under the registered name of the LLC listed on this registration form. (Alaska Statute 08.04.400).

I CERTIFY THAT, to the best of my knowledge, the statements contained in this application are true and correct. I

understand that any false or misleading information herein may result in failure to obtain registration and licensure in the

State of Alaska.

Signature of Resident Manager or Alaska CPA Member

Date of Application

SUBSCRIBED AND SWORN to before me this ______ day of _______________________________, ________.

Notary Public

SEAL

My Commission Expires:

08-4178 (Rev. 9/00)

Form 08-4178 - Cpa Limited Liability Company (Llc) Registration And Permit To Practice Page 2