Form Annual List Of Bustrust1999.01-Annual List Of Trustees And Resident Agent printable pdf download

FILE NUMBER

ANNUAL LIST OF TRUSTEES AND RESIDENT AGENT OF

_____________________________________________________________________

_____________________

(Name of Business Trust)

A ____________________________________ BUSINESS TRUST

FOR THE FILING PERIOD _________________TO________________

(State of Formation)

The Business Trust’s duly appointed resident agent in the State of Nevada

Office Use Only

upon whom process can be served is:

IF AGENT INFORMATION HAS CHANGED, PLEASE SEE ATTACHED

INSTRUCTIONS ON HOW TO OBTAIN THE APPROPRIATE FORM.

Important: Read instructions before completing and returning this form.

1. Print or type names and addresses, either residence or business, for at least one trustee. A Trustee of the company must sign the form.

FORM WILL BE

RETURNED IF UNSIGNED

2. If there are additional trustees, attach a list of them to this

form..

3. Return the completed form with the $85.00 filing fee. A $15.00 penalty must be added for failure to file this form by the last day of the anniversary month of the original registration with this office.

4. Make your check payable to the Secretary of State. Your cancelled check will constitute a certificate to transact business. If you need a receipt, return page 2 certificate and ENCLOSE A SELF- ADDRESSED

STAMPED ENVELOPE. To receive a certified copy, enclose a copy of this completed form, an additional $10.00 and appropriate instructions.

5. Return the completed form to: Secretary of State, 101 North Carson Street, Suite 3, Carson City, NV 89701-4786, (775) 684-5708.

FILING FEE: $85.00

LATE PENALTY: $15.00

NAME

TITLE(S)

TRUSTEE

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

PO BOX

STREET ADDDRESS

CITY

ZIP

NAME

TITLE(S)

TRUSTEE

PO BOX

STREET ADDDRESS

CITY

ZIP

NAME