Foreign Statutory Trust Application For Certificate Of Authority - Wyoming Secretary Of State

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Wyoming Secretary of State
State Capitol Building, Room 110
th
200 West 24
Street
For Office Use Only
Cheyenne, WY 82002-0020
Ph. 307.777.7311
Fax 307.777.5339
Email:
Business@wyo.gov
Foreign Statutory Trust
Application for Certificate of Authority
Pursuant to W.S. 17-16-1503 of the Wyoming Business Corporation Act, the undersigned statutory trust company
hereby applies for a Certificate of Authority to transact business in the state of Wyoming, and for that purpose
submits the following statement:
1. Name of the statutory trust company as organized:
2. Organized under the laws of:
(State or country of organization)
3. Date of organization:
( mm/dd/yyyy)
4. Period of duration:
5. Name and physical address of its registered agent:
(The registered agent may be an individual resident in Wyoming, a domestic or foreign entity authorized to transact business in Wyoming,
having a business office identical with such registered office. The registered agent must have a physical address in Wyoming. A Post Office
Box or Drop Box is not acceptable. If the registered office includes a suite number, it must be included in the registered office address.)
6. Mailing address of the statutory trust company:
7. Principal office address:
FST-CertificateAuthority - Revised 11/2012

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