Form Sfn 19445 - Initial Report For Corporate Or Limited Liability Company Farming Or Ranching - 2008

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COMPLETE, PRINT, SIGN, AND FAX OR MAIL
(If paying with credit card complete authorization at bottom of page 3)
FOR OFFICE USE ONLY
INITIAL REPORT FOR CORPORATE
ID#:
OR LIMITED LIABILITY COMPANY
WO#:
FARMING OR RANCHING
SECRETARY OF STATE
Filed:
By:
SFN 19445 (07-2008)
TYPE OR PRINT LEGIBLY
For reference, see North Dakota Century Code, Section 10-06.1-15.
1.
Name of the Corporation or Limited Liability Company
REGARDING SHAREHOLDERS OR MEMBERS
2.
(May not exceed 15 shareholders or members)
(Check appropriate box)
Depends Principally on
Living on
Operating
% or #
Farming or Ranching
Farm or
Farm or
of Shares or
U.S.
Permanent
Name and Address
Kinship
for a Livelihood
Ranch
Ranch
Membership
Citizen or
Alien
Interests
Yes
No
Yes
No
Yes
No
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
3.
NAMES OF BENEFICIARIES
COMPLETE MAILING ADDRESS
OF TRUSTS OR ESTATES
RELATIONSHIP
Street/RR
PO Box
City
State
Zip+4

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