Form Cf:0024 - Application For Authority To Transact Business In Arizona - 2010 Page 3
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1
2
3DO NOT PUBLISH
THIS SECTION
9. The foreign corporation has issued ___________________ shares, itemized as follows:
9. The total number
shares of
[class or series] stock at
of shares issued
no par value or par value of $
per share.
cannot be blank or
“Not Applicable.” If
shares of
[class or series] stock at
no shares have been
no par value or par value of $
per share.
issued, put the word
“none” or “zero” or
the number 0.
shares of
[class or series] stock at
Include only shares
no par value or par value of $
per share.
actually issued in this
section.
10. The character of business the foreign corporation initially intends to conduct in Arizona is:
_______________________________________________________________________
The Application
must be
Dated this ________________ day of ____________________________,____________.
accompanied by
the following:
A Certificate of
Disclosure,
Signature :
______________________________________________________________
executed within
30 days of delivery
[must be signed by a duly authorized Officer]
to the Commission,
by a duly
______________________________________________________________
authorized officer
[print name]
[title]
A certified copy
of your articles of
PHONE
______________________
FAX ___________________
incorporation, all
amendments and
[optional]
[optional]
mergers (AZ
Const. Art. XIV,
§ 8) and a
certificate of
ACCEPTANCE OF APPOINTMENT BY STATUTORY AGENT
existence or
document of
The undersigned hereby acknowledges and accepts the appointment as statutory agent of this corporation
similar import duly
effective this _____________day of ___________________________,_______.
authenticated
(within 60 days of
delivery to A.C.C.)
_________________________________________________
by the official
Signature
having custody of
corporate records
_________________________________________________
in the state or
[Print Name]
country under
whose laws
_____________________________________
the corporation is
incorporated.
[If signing on behalf of a company serving as statutory agent,
print company name here]
The agent must
consent to the
appointment by
signing the
consent.
CF:0024
Arizona Corporation Commission
Rev: 04/2010
Page 5 of 5
Corporations Division
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