Application For Authority To Conduct Affairs For A Foreign Corporation Form
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Business Registration - Optional Inclusion of Ownership Data
State of Utah
Clear Form
DEPARTMENT OF COMMERCE
Print Form
Division of Corporations & Commercial Code
Application for Authority to Conduct Affairs for a Foreign Corporation
A certification of Good Standing/Existence from the State of Incorporation dated no earlier than ninety (90) days prior to filing with this office is
attached to this application.
Non-Refundable Processing Fee:
[ ] Profit $70.00
[ ] Nonprofit $30.00
1. Exact Corporate Name:
2. A corporation of the state of:
3. Date Incorporated:
4. The corporation’s period of duration is:
(usually perpetual)
___________________________________________________
5. The address of the corporation's principal
office is:
Street Address Line 1
___________________________________________________
Street Address Line 2
City
State
Zip
What is a commercial registered agent?
6. Is the registered agent a
commercial registered
agent?
YES
NO
If Yes, is the
commercial registered agent
an:
Individual
Entity
If an individual, what is the name of the individual (First, Middle, Last): __________________________________________
________________________________________
What is the Commercial Registered Agent Registration Number? (required): _
Registered Agent Name: __________________________________________________________________________________
I hereby accept appointment as Registered Agent for the above named business entity.
The Registered Agent must sign here after the form is printed
Signature of Registered Agent (Required): __________________________________________
__________________________________________________________
Address of the Registered Agent:
Utah Street Address Required, PO Boxes can be listed after the Street Address
City: ________________________________________________________________
State UT
Zip: _______________
7. If the name is not available in Utah the corporation shall use as it’s name: {Please refer to (U.C.A. 16-10a-1506)}
8. The corporation commenced or intends to commence business in Utah on:
9. The names and addresses of the corporation's officers and directors are:
Position:
Name
Address
City
State
Zip
President
Vice-President
Secretary
Treasurer
Director
Director
Director
Other
10. The business purposes to be pursued in Utah are:
Under penalties of perjury, I declare that this application for Certificate of Authority has been examined by me and is, to the best of my
knowledge and belief, true, correct and complete.
A corporate officer/director must sign here after the form is printed
______________________________________
____________________________________
Authorized Signer Signature
Title
Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes, you may
use the business entity physical address rather than the residential or private address of any individual affiliated with the entity.
Mailing/Faxing Information:
Division's Website:
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