Contact Information
KANSAS SECRETARY OF STATE
BU
Kansas Secretary of State
Business Trust Application
Ron Thornburgh
51
Memorial Hall, 1st Floor
120 S.W. 10th Avenue
All information must be completed or this document will not be accepted for filing.
Topeka, KS 66612-1594
(785) 296-4564
Print
Reset
Please complete the form, print, sign and
mail to the Kansas Secretary of State with
1. Name of business trust: ___________________________
the filing fee. Selecting 'Print' will print
The business trust applies for authority to transact business in the
the form and 'Reset' will clear the entire
state of Kansas and submits the following statement:
form.
The date the business trust began or intends to begin business in
Do not write in this space
Kansas: ______________ _____________ ___________
Month
Day
Year
2. State of organization:
Kansas
Out-of-state ___________________
Home state
3. The address of the registered office in Kansas:
Kansas
_____________________________________ ________________________ _____________ ____________
Street address
City
State
Zip
and the name of the resident agent at that address: ____________________________________________________
4. The name and address of the trustees of the business trust: (If this space is insufficient, a complete list should be
attached.)
Name
Street address
City
State
Zip
I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct.
Executed on the ________ of ___________ , _____________ .
Day
Month
Year
____________________________________________ ____________________________________________
Signature
Title of office
5. Provide a balance sheet, certified by the trustee as of a date no earlier than 60 days prior to the date of filing, fairly
and truly reflecting the assets and liabilities of the business trust and specifically setting out its corpus. In case of a
foreign business trust, such balance sheet shall fairly and truly reflect an allocation of the trust’s money and other
assets as between those located, used or to be used in this state and those located, used or to be used elsewhere.
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