Application Of Registration For Foreign Business Trust Form
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10ROSS MILLER
Secretary of State
206 North Carson Street
Carson City, Nevada 89701-4299
(775) 684 5708
Website:
Application of
Registration for
Foreign Business Trust
(PURSUANT TO NRS 88A.710)
USE BLACK INK ONLY - DO NOT HIGHLIGHT
ABOVE SPACE IS FOR OFFICE USE ONLY
1. Name of
Foreign Business
Trust:
2. Name Being
The name under which this foreign business trust proposes to register and transact business in Nevada:
Registered with
Nevada:
3. Date and State
or Country of
Date Formed
State or Country where Authorized
Formation:
4. Registered
Commercial Registered Agent:
Agent for Service
Name
of Process:
(check
Noncommercial Registered Agent
Office or Position with Entity
OR
only one box)
(name and address below)
(name and address below)
Name of Noncommercial Registered Agent OR Name of Title of Office or Other Position with Entity
Nevada
Street Address
City
Zip Code
Nevada
Mailing Address (if different from street address)
City
Zip Code
5. Street Address of
Principal Office:
(or
office registered to be
maintained in the domicile
state by the laws of that
Street Address
City
State
Zip Code
state)
6. Name and
1)
Address of each
Name
Trustee:
(attach
additional page if more
Address
City
State
Zip Code
than 2)
2)
Name
Address
City
State
Zip Code
7. Name and
X
Signature of
Trustee:
Name
Authorized Signature
8. Certificate of
I hereby accept appointment as Registered Agent for the above named Entity.
Acceptance of
X
Appointment of
Registered Agent:
Authorized Signature of Registered Agent or On Behalf of Registered Agent Entity
Date
Nevada Secretary of State NRS 88A FBT Registration
This form must be accompanied by appropriate fees.
Reset
Revised on 7-1-08
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