Form Dfi/corp/21 - Foreign Business Corporation - Certificate Of Authority Application - 2015 Page 4

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FILING FEE
15. Remit the one appropriate
, payable to Department of Financial Institutions
ORIGINAL Certificate,
ORIGINAL Certificate, from
from item 14
Supplement
AMENDED Certificate
OR
OR
$ 100.00, or more
$ ______________________
$ 40.00
16.
(Signatory’s printed name)
(Officer’s signature)
Executed on
(Date)
(Officer’s title)
NOTE: Every application must be accompanied by a current (not more than 60 days old)
CERTIFICATE OF STATUS issued by the Secretary of State or other public custodian of corporate
records in the state in which the corporation is organized.
__________________________________________________________________________________
DFI/CORP/21 (R03/15)
4

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