Application For Certificate Of Authority Form
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1Secretary of State , Corporations Division
500 E. Capitol Avenue, Pierre SD 57501
Clear Form
Phone 605-773-4845, Fax 605-773-4550
Print
Application for Certificate of Authority
FILING FEE: $550
FILING INSTRUCTIONS: A foreign corporation may apply for a certificate of authority to transact business in South Dakota by
delivering this application to the Office of the Secretary of State for filing. One ORIGINAL and One COPY of the application must
be submitted. This application must include a CERTIFICATE OF EXISTENCE, or a document of similar import, duly authenticated
by the secretary of state or other official having custody of corporate records in the state or country under whose law it is
incorporated.
(1) The name of the corporation is
(exact corporate name including corporation, company, incorporated, limited or an abbreviation of one of such words)
(2) State where incorporated
(3) The date of its incorporation is
and the period of its duration is
(4) The address of its principal office in the state or country under the laws of which it is incorporated is
Zip Code
mailing address if different from above is:
Zip Code
(5) The street address, or a statement that there is no street address, of its registered office in the State of South Dakota is
Zip Code
and the name of its registered agent in the State of South Dakota at that address is
(6) The names and usual business addresses of its current directors and officers are:
Name
Officer Title
Street Address
City
State Zip
The application must be signed by an authorized officer of the corporation.
Date:
Signature
Printed Name
Title
***********************************************************************************************************
The Consent of Appointment below must be signed by the registered agent listed in number five.
Consent of Appointment by the Registered Agent
I, ______________________________________________, hereby give my consent to serve as the registered
(name of registered agent)
agent for ________________________________________________________________________________.
(corporate name)
Dated ____________________20 _____
________________________________
(signature of registered agent)
foreigncertificateofauthority July 2005
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