Form Sosbs - Charitable Organization Religious Organization Registration - 2012 Page 3
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1
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3State of Arizona
RELIGIOUS ORGANIZATION REGISTRATION
Arizona Secretary of State’s Office
6. Duration of Solicitation Period this Fiscal Year
Month Day Year
Month
Day Year or Total Number of Days
to
7. Signature and Notarization
This form requires the notarized signatures of any two officers.
OFFICER or DIRECTOR # 1
I, the undersigned, being duly sworn, affirm and say that this Charitable Organization Registration Form is complete, true and correct.
Printed Name of Officer
Printed Title of Officer
Signature of Officer
State of ___________________)
County of __________________)
Subscribed and sworn to before me this ______ day of
__________
_________.
Month
Year
Notary Seal
Notary Public Signature
OFFICER or DIRECTOR # 2
I, the undersigned, being duly sworn, affirm and say that this Charitable Organization Registration Form is complete, true and correct.
Printed Name of Officer
Printed Title of Officer
Signature of Officer
State of ___________________)
County of __________________)
Subscribed and sworn to before me this ______ day of
__________
_________.
Month
Year
Notary Public Signature
Notary Seal
Office Form SOSBS_Charity_Religious_Org.doc
C hari t abl e Or gani zati on R egi str ation/R enew al Form
Page 3 of 3
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