Application For Authority To Transact Business Form - Utah Department Of Commerce
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1This form must be type
For Office Use Only
State of Utah
written or computer
File Number ________________________
generated. For your
DEPARTMENT OF COMMERCE
Non-Refundable Processing Fee:
convenience, this form has
Division of Corporations & Commercial Code
[ ]
Registration
$52.00
been designed to be filled out
and printed online.
Print Form
Application for Authority to Transact Business
Clear Form
______________________________________________________________
Exact Name of Foreign Limited Liability Company
1. This limited liability company of the state or country of ______________________, hereby applies for authority to transact business
in the state of Utah.
2. Date of formation or organization _______________________ and duration period of __________________________.
3. The street address of the registered office in the State of Utah, and the name of the registered agent for service of process at the
registered office, (the agent shall be a person residing or authorized to do business in the State of Utah). ***The signature of the
authorized signer represents the irrevocable written consent of the foreign limited liability company that actions may be commenced
against it in the proper court of any county where there is proper venue by the service of process on its registered agent, and if the
agent has resigned, the agents authority has been revoked or the agent cannot be found, then on the director of the division, and
stipulating and agreeing that this service shall be taken and held, in all courts, to be as valid and binding as if service had been made
upon the members of the foreign limited liability company.
_________________________________________________________________________________________UTAH__________________
Registered Agent Name
Street Address
City
Zip
Registered Agent must sign here after the form is printed
Signature of Registered Agent (Required)____________________________________________________________________
4. Principal place of business:
_________________________________________________________________________________________________________________
Street Address
City
State
Zip
5. The nature of the business or purpose(s) to be conducted or promoted in Utah_________________________________________________
________________________________________________________________________________________________________________
6. Clear indication of who is managing the company is required.
Is this foreign limited liability company manager-managed? _____Yes, ______No.
If YES , you must list the name and business or residence street address of each manager.
Name
Address
City/State
Zip
MANAGER:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
MANAGER:
Please list additional managers (if any) on an attachment
Is this foreign limited liability company member-managed? _____Yes, _____No.
If YES , you must list the name and business or residence street address of each member.
Name
Address
City/State
Zip
________________________________________________________________________________________________________
MEMBER:
________________________________________________________________________________________________________
MEMBER:
Please list additional members (if any) on an attachment
If a foreign entity is a member or manager, you must list the home state where the entity is registered:___________________________________
7. The date the limited liability company intends to first transact business in Utah:_________________________________________________
8. A Certificate of Good Standing/Existence from the state of organization dated no earlier than ninety (90) days prior to filing with the
Division is attached hereto.
9. The limited liability company shall use as its name in Utah:__________________________________________________________________
(The limited liability company shall use its name as set forth at the top of this form unless the name is not available for use in Utah.)
Under penalties of perjury, I declare as a manager or member with management authority of this limited liability company having
authority to sign hereto, that this application for authority to transact business has been examined by me and is, to the best of my
knowledge and belief, true, correct and complete.
Sign here after the form is printed
By: ________________________________________________
_________________________________________________
Limited Liability Company Authorized Signer Signature
Typed Name & Title
Mail In: PO Box 146705
Salt Lake City, UT 84114-6705
Walk In:160 East 300 South, Main Floor
Information Center: (801) 530-4849
Toll Free: (877) 526-3994 (within Utah)
Fax: (801) 530-6438
Web Site:
Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes,
the business entity physical address may be provided rather than the residential or private address of any individual affiliated with the entity.
Revised 09/02
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