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Application For Registration Foreign Statutory Trust - 2009 - Office Of The Secretary Of The State Of Connecticut

APPLICATION FOR REGISTRATION

FOREIGN STATUTORY TRUST

Office of the Secretary of the State

MAILING ADDRESS:

DELIVERY ADDRESS:

Commercial Recording Division

Connecticut Secretary of the State

P.O. Box 150470

30 Trinity Street

Hartford, CT 06115-0470

Hartford, CT 06106

860-509-6003

FEE: $120.00

Make Checks Payable To “Secretary of the State”

Space For Office Use Only

1. NAME OF STATUTORY TRUST IN ITS STATE OR COUNTRY OF FORMATION:

2. IF DIFFERENT FROM THE NAME STATED ABOVE, THE NAME UNDER WHICH THE STATUTORY TRUST

SHALL TRANSACT BUSINESS IN CONNECTICUT:

3. STATE/COUNTRY OF FORMATION:

4. DATE OF FORMATION:

_____________________________________

_______/_______/_________

Month

Day

Year

5. ADDRESS OF THE OFFICE REQUIRED TO BE MAINTAINED IN THE JURISDICTION OF FORMATION OR,

NOT REQUIRED, THE ADDRESS OF THE STATUTORY TRUST'S PRINCIPAL OFFICE

(P.O. Box not

acceptable)

________________________________________________________

_______________________________________________________________________________________

6. THE CHARACTER OF BUSINESS WHICH THE STATUTORY TRUST TRANSACTS OR INTENDS TO

TRANSACT IN CONNECTICUT:

7. THIS IS A FOREIGN STATUTORY TRUST, WHICH IS NOT ORGANIZED UNDER THE LAWS OF THIS STATE.

8. DATE STATUTORY TRUST BEGAN TRANSACTING BUSINESS IN CONNECTICUT:

_______/_______/________

Month

Day

Year

Note: If additional space is needed, please reference an 8 1/2 X 11 attachment

REV. 12/07/09

Application For Registration Foreign Statutory Trust - 2009 - Office Of The Secretary Of The State Of Connecticut