Form L-09 - Application For Certificate Of Authority For Limited Liability Company Page 2

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CORPORATIONS DIVISION
P. O. BOX 29622
RALEIGH, NC 27626-
0622
APPLICATION FOR CERTIFICATE OF AUTHORITY
Page 2
10. Attached is a certificate of existence (or document of similar import), duly authenticated by the secretary of state or other official
having custody of limited liability company records in the state or country of organization. The Certificate of Existence must
be less than six months old. A photocopy of the certification cannot be accepted.
11. If the limited liability company is required to use a fictitious name in order to transact business in this State, a copy of the
resolution of its managers adopting the fictitious name is attached.
12. This application will be effective upon filing, unless a delayed date and/or time is specified: ____________________
This the ____day of ________________, 20___
____________________________________________________
Name of Limited Liability Company
____________________________________________________
Signature of Manager
____________________________________________________
Type or Print Name
Notes:
1. Filing fee is $250. This document and one exact or conformed copy of this application must be filed with the Secretary of State.
(Revised August 2000)
(Form L-09)

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