Form 326 - Application For Certificate Of Authority To Transact Business In Louisiana

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W. Fox McKeithen
APPLICATION FOR CERTIFICATE OF AUTHORITY
Secretary of State
TO TRANSACT BUSINESS IN LOUISIANA
(R.S. 12:304)
Foreign Corporation
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
Check one:
Check one:
STATE OF ____________________________________
( ) Non profit
( ) Original Application
PARISH/COUNTY OF ___________________________
( ) Business
( ) Amended Application
Current Corporation Name: ___________________________________________________________________________________________________________________________
Previous Corporation Name: __________________________________________________________________________________________________________________________
(use only for amended application changing the corporation name)
A corporation organized under the laws of the State of ___________________________ with principal office within state of organization at______________________________
_______________________________________________________________________________________________________________________________________ and having its
(domicile address, city, state, zip)
principal office (wherever located) outside of 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 corporation in Louisiana is located at_____________________________________________________________________________________________
(address, city, state, zip)
and its registered agent(s) in Louisiana____________________________________________________________________________________________________ and the principal
Agent(s) Name and Address
(Must be identical to registered office in LA)
business establishment in the State of Louisiana is ________________________________________________________________________________________________________
(address, city, state, zip)
The nature of business which the corporation proposes to transact in this State, if it does not propose, or is not permitted, to transact in this State business of every nature
which it is empowered to transact by its articles or certificate of incorporation;________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________
The corporation's director(s) and officer(s) names and addresses (attatch addendum if needed):__________________________________________________________________
___________________________________________________________________________________________________________________________________________________
Corporation's federal tax identification number:_____________________________________
Date first transacted business in Louisiana:____________________________
Dated and executed at ________________________________________________________________, on the ___________ day of ___________________________,19__________.
_____________________________________________________
To be signed by any officer
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 corporation, and that the statements contained therein are true.
(Title)
__________________________________________________
Notary
I hereby acknowledge and accept the appointment of registered agent for and on behalf
___________________________________________________________
of the above named corporation.
Registered Agent
Sworn to and subscribed before me this ___________ day of ____________________________, 19_______.
_________________________________________________
Notary
326 Rev 7/97
(Note: This form may also be used when applying for an amended Certificate of Authority pursuant to R.S. 12:307)

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