State Form 44867 - Application For Architect Corporation License - Indiana
Download a blank fillable State Form 44867 - Application For Architect Corporation License - Indiana in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete State Form 44867 - Application For Architect Corporation License - Indiana with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2FOR OFFICE USE ONLY
APPLICATION FOR ARCHITECT
C
N
CORPORATION LICENSE
O
U
State Form 44867 (R2 / 1-01)
N
M
Approved by the State Board of Accounts, 2001
T
B
R
E
Check one (1) corporation type:
O
R
Architect
Landscape Architect
Architect / Landscape Architect
L
INSTRUCTIONS: Professional architect and landscape architect corporations may be organ-
FEDERAL IDENTIFICATION NUMBER
ized for the practice of architecture upon compliance with the Professional Corporation Act of
Your Federal Indentification number is being requested in ac-
1983, IC 23-1.5 administered by the Office of the Secretary of State of Indiana, State House,
cordance with IC 4-1-8-1. It is not mandatory that this number
Indianapolis, IN 46204.
be given. If given , it will be made available to the Indiana De-
partment of Revenue.
Notification shall be given to the Secretary of State's office and the Indiana Board of Registra-
tion for Architects within thirty (30) days after a change of business address of the Corporation
FEE $25.00
and the admission to or withdrawal of a shareholder, giving the names and addresses of both
and transferer and transferee shareholders. Also, a certified copy of all amendments to the
Make check or money order payable and mail to:
Articles of Incorporation must be submitted to the Secretary of State's office and the Board of
INDIANA PROFESSIONAL LICENSING AGENCY
Registration for Architects.
INDIANA GOVERNMENT CENTER SOUTH
302 W. WASHINGTON STREET RM E034
One shareholder shall execute Affidavit of Shareholder on the back of this application.
INDIANAPOLIS IN 46204
CORPORATION INFORMATION
Date
Federal Identification number
Gentlemen:
The Corporation known as _______________________________________________________________________________
is engaged in the practice of architecture and hereby makes application for registration pursuant to the Professional Corporation
Act of 1983, IC 23-1.5.
Name of principal office of corporation
Telephone number
(
)
Address (number and s treet , cit y, stat e, Z IP code)
SHAREHOLDER / DIRECTOR / OFFICER PRACTICING OR LICENSED
(Designate Shareholder, Director or Officer)
Architect registration number
Name of individual
Address (number and street, city, state, ZIP code)
Registration number of original issue
Name of state of original issue
(C hec k app ropr ia t e bo x)
Shareholder
Director
Officer
Name of individual
Architect registration number
Address (number and street, city, state, ZIP code)
Registration number of original issue
Name of state of original issue
(C hec k app ropr ia t e bo x)
Shareholder
Director
Officer
Name of individual
A r ch it e ct r egi s t r at i on num ber
Address (number and street, city, state, ZIP code)
Name of state of original issue
Registration number of original issue
(C hec k app ropr ia t e bo x)
Shareholder
Director
Officer
Name of individual
Architect registration number
Address (number and street, city, state, ZIP code)
Registration number of original issue
Name of state of original issue
(C hec k app ropr ia t e bo x)
Shareholder
Director
Officer
Name of individual
Architect registration number
Address (number and street, city, state, ZIP code)
Name of state of original issue
Registration number of original issue
(C hec k appr opr iat e box )
Shareholder
Director
Officer
(Continued on reverse side)
ADVERTISEMENT
0 votes
Related Articles
Related forms
State Form 43777 - Application For Private Detective License - Indiana Professional Licensing Agency
Legal
State Form 48563 - Application For Disposal Plant License - Indiana State Board Of Animal Health
Legal
State Form 934 - Application For Real Estate License As Partnership Or D / B / A - State Of Indiana
Legal
Related Categories
Parent category: Legal