Form 40 - Application For Certificate Of Authority For Profit Foreign Corporation - New Hampshire Secretary Of State Page 2

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Form No. 40
(cont.)
APPLICATION FOR CERTIFICATE OF AUTHORITY OF
(Corporate name)
EIGHTH: The principal purpose or purposes which it proposes to
pursue in the transaction of business in New Hampshire are
(Note 3)
NINTH: The names and usual business addresses of its current officers
and directors are: (If there are additional officers or directors, attach
additional sheet OR if the laws or the state of incorporation do not
require directors, indicate below.)
Title
Name
Address
OFFICERS
DIRECTORS
Dated
(Note 4)
(Note 5)
By
Signature of its
Print or type name
Mail total fees of $85.00, DATED & SIGNED ORIGINAL & ONE EXACT OR CONFORMED
COPY, ORIGINAL CERTIFICATE OF LEGAL EXISTENCE OR GOOD STANDING ISSUED BY THE
STATE OR COUNTRY OF INCORPORATION & FORM SRA (See Notes 6 & 7) to:
Secretary
of State, State House, 107 North Main Street, Concord, NH 03301-4989

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