Form Cr181-Application For Business Trust-Domestic And Foreign
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1Phone: (503) 986-2200
Application for Business Trust—Domestic and Foreign
Fax: (503) 378-4381
For office use only
Secretary of State
Corporation Division
255 Capitol St. NE, Suite 151
Salem, OR 97310-1327
Registry Number: ________________________________
Attach Additional Sheet if Necessary
Reset Form
Please Type or Print Legibly in Black Ink
1) N
B
T
AME OF THE
USINESS
RUST
2) A
B
N
, I
A
SSUMED
USINESS
AME
F
NY
CHECK HERE TO INDICATE ON YOUR REGISTRATION THAT YOU
4) N
O
R
A
AME OF
REGON
EGISTERED
GENT
DO NOT WANT MAIL SOLICITATION.
PLEASE NOTE, THERE IS NO
OBLIGATION ON THE PART OF PERSONS USING OUR LISTS TO REFRAIN FROM
MAILING SOLICITATIONS. THE MARK IS SIMPLY INFORMATIONAL. ORS 56.022
5) A
O
R
O
DDRESS OF
REGON
EGISTERED
FFICE (Must be an Oregon
3) N
S
A
E
T
AME AND
TREET
DDRESS OF
ACH
RUSTEE
Street Address which is identical to the registered agent’s business office.)
(Attach a separate sheet if necessary.)
6) A
W
D
M
M
N
DDRESS
HERE THE
IVISION
AY
AIL
OTICES
7) T
E
H
T
C
HE UNDERSIGNED
NCLOSE
EREWITH
WO
OPIES OF THE
T
I
C
S
T
A
RUST
NSTRUMENT
REATING
UCH
RUST AND
NY
S
A
H
.
UBSEQUENT
MENDMENTS
ERETO
8) E
XECUTION
Printed Name
Signature
Title
9) C
N
D
P
N
– I
A
C
ONTACT
AME
AYTIME
HONE
UMBER
NCLUDING
REA
ODE
FEES
Domestic
$40
Foreign
$440
Make check payable to
“Corporation Division.”
NOTE: Filing fees may be paid
with VISA or MasterCard. The
card number and expiration date
should be submitted on a separate
sheet for your protection.
CR181 (Rev. 12/99)
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