Looking for a Louisiana Tax Forms And Templates? Download it for free!

W. Fox McKeithen

APPLICATION FOR CERTIFICATE OF AUTHORITY

Secretary of State

TO TRANSACT BUSINESS IN LOUISIANA

(R.S. 12:1345)

Foreign Limited Liability Company

Return to: Corporations Division

Enclose $100.00 filing fee

P.O. Box 94125

Make remittance payable to

Baton Rouge, LA 70804-9125

Secretary of State

Phone (504) 925-4704

Do not send cash

STATE OF_________________

PARISH/COUNTY OF_______________________

Check one:

( ) Original Application

( ) Amended Application

Current limited liability company name: _____________________________________________________________________________________

Previous limited liability company name: ____________________________________________________________________________________

(use only for amended application changing the limited liability company name)

A limited liability company organized under the laws of the State of: _______________________________with registered office within the state of

organization at: ________________________________________________________________________ and having its principal business office

(domicile address, city, state, zip)

(wherever located) outside of the State of organization at:_______________________________________________________________________

(address, city, state, zip)

doing business, or being about to do business in the state of Louisiana in conformity with the laws thereof, does, pursuant to the laws of said state,

hereby makes its written declaration that the registered office of the limited liability company in Louisiana is located at:________________________

___________________________________________________________________________

and its registered agent(s) in Louisiana:________________

(address, city, state, zip)

________________________________________________________________________________________________________and the principal

Agent(s) Name and Address

(Must be identical to registered office in LA)

business establishment in the State of Louisiana _______________________________________________________________________________

(address, city, state, zip)

The nature of business which the limited liability company proposes to transact in this State, and a statement that it is impowered to transact such

business under the laws which it is organized;_________________________________________________________________________________

Date of organization and the period of duration if any____________________________________________________________________________

Dated and executed at _______________________________________________________________________________, on the _____________

day of ___________________________,19__________.

_________________________________________________

Manager(s) or Member

On this _______ day of ________________________, 19 _____, personally appeared before me_______________________________, who being

by me first duly sworn declared that he/she is the ________________________________________________________ of the above named limited

liability company, and that the statements contained therein are true.

__________________________________________________

Notary

I hereby acknowledge and accept the appointment of registered agent

__________________________________________________

for and on behalf of the above named limited liability company.

Registered Agent

Sworn to and subscribed before me this ___________ day of

__________________________________________________

_________________________________, 19_______.

Notary

972 5/97

(Note: This form may also be used when applying for an amended Certificate of Authority pursuant to R.S. 12:1348)

Form 972 - Application For Certificate Of Authority To Transact Business In Louisiana

Related Articles

Related forms

Related Categories