Certificate Of Authority For A Non-Minnesota Limited Liability Company - Minnesota Secretary Of State
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1For your convenience, this form has
been designed to be completed online.
You must have Acrobat Reader 5.0 or
MINNESOTA SECRETA RY OF STATE
above to use this new feature. Once your
CERTIFICATE OF AUTHORITY FOR A
form is completed, be sure to select
NON-MINNESOTA
"Print" at the bottom of the screen to
capture your data entry for printing. After
LIMITED LIABILITY COMPANY
printing, sign and send applicable fees as
required.Note: Selecting "Reset" will
MINNESOTA STATUTES CHAPTER 322B
clear all data entry from this page. To
print a blank form, go to File->Print.
PLEASE TYPE OR PRINT IN BLACK INK.
Before Completing this Form Please Read the Instructions on the Back.
FILING FEE $185.00
1. YOU MUST ATTACH AN ORIGINAL CERTIFICATE OF STATUS OR GOOD STANDING ISSUED BY THE FILING OFFICER IN
THE STATE OR JURISDICTION IN WHICH THIS COMPANY IS DOMICILED.
2. Name under which LLC will do business in Minnesota:
___________________________________________________________________________________________________________
3. Company name in home state, i f d i f f e r e n t from name listed in item 1:
___________________________________________________________________________________________________________
4. State or jurisdiction of formation: ____________________________
5. Expiration date of company: ____________________
State
Month
Day
Year
6. Registered office address in Minnesota:
__________________________________________________________________________________________MN_______________
Complete Street Address or Rural Route and Rural Route Box Number
City
State
ZIP Code
(P.O. Box is Unacceptable)
7. Full name of Registered Agent in Minnesota: ____________________________________________________________________
8. Address of the office in the home state.
___________________________________________________________________________________________________________
Street Address
City
State
ZIP Code
9. Does this LLC own, lease or have any interest in agricultural land or land capable of being farmed in Minnesota?
(Check One)
____YES ____NO
10. Name and Telephone Number of Contact Person for this LLC:
Daytime
Name _______________________________________________________ Phone (
)_________________________
I certify that I am authorized to execute this application and I further certify that I understand that by signing this application, I
am subject to the penalties of perjury as set forth in Minnesota Statutes Section 609.48 as if I had signed this application under
oath.
Reset
Print
__________________________________________
Signature
bus67 Rev.3-03
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