APPLICATION FOR RENEWAL
Secretary of State Office
500 E Capitol Ave
OF REGISTERED NAME
Pierre, SD 57501
(605)773-4845
Clear Form
FOREIGN BUSINESS CORPORATION
Please Type or Print Clearly in Ink
HELP
Original
Photocopy
Please submit one
and one
FILING FEE: $15
SECRETARY OF STATE
payable to
Telephone # ____________________
FAX #
_______________________
Application must include a CERTIFICATE OF EXISTENCE, or a document or similar import, duly authenticated by
the secretary of state or other official having custody of the corporate records in the state or country under
whose law it is incorporated.
A renewal application may be filed between the first day of October and the thirty-first day of
RENEWAL DATE:
December in each year, and shall extend the registration for the following calendar year.
Pursuant to the provisions of South Dakota law, the undersigned Corporation hereby applies for the renewal of the
registration of its name to and including December 31, 20______, and submits the following statement:
1. The name of the corporation is _____________________________________________________________________
______________________________________________________________________________________________
Note: This must be the exact corporate name.
2. State where incorporated __________________________________
3. Date of its incorporation is __________________________________
4. A brief description of the nature of business
The application must be signed by an authorized officer of the corporation.
Dated ____________________________
______________________________________________
(Signature of an authorized officer)
______________________________________________
(Printed Name)
______________________________________________
(Title)
registrationrenewal April 2012