Form Foreign Bustrust1999.01 - Application For Registration Of Foreign Business Trust - Nevada Secretary Of State
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1Office Use Only:
DEAN HELLER
Application for
Secretary of State
Registration of Foreign
Business Trust
101 North Carson Street, Suite 3
Carson City, Nevada 89701-4786
(PURSUANT TO NRS 88A)
(
775) 684 5708
Important: Read attached instructions before completing form.
1.
Name of Foreign
Business Trust:
2.
Name Being
Registered
with Nevada:
(name under which this
foreign business trust
proposes to register and
transact business in Nevada)
3.
Date of Formation
and State or
Country in which
Business Trust was
_________________________
_____________________________________
formed:
Date Formed
State or Country where authorized
4.
Resident Agent
________________________________________________________________________________
Name and Street
Name
Address:
(must be a Nevada address
where process may be
__________________________________________________________, NEVADA ____________
served)
Street Address
City
Zip Code
5.
Street Address of
Principal Office:
(or office required to be
__________________________________________________________, ________ ____________
maintained in the domicile
Street Address
City
State
Zip Code
state by the laws of that state)
6.
Name and
Address of
1._______________________________________________________________________________
Trustee:
(attach additional pages if
Name
there are more than 2)
__________________________________________________________, ________ ____________
Street Address
City
State
Zip Code
2._______________________________________________________________________________
Name
__________________________________________________________, ________ ____________
Street Address
City
State
Zip Code
7.
Name and
Signature
_____________________________________
_______________________________________
of Trustee making
Name
Signature
Statement:
I hereby declare and affirm under the penalties of perjury that I am a Trustee in the above-named Foreign Business
Trust and that the execution of this application for registration is my act and deed and that the facts stated herein are
true.
8. Certificate of
Acceptance of
I, ____________________________________________hereby accept appointment as Resident Agent for the above
Appointment of
named Foreign Business Trust.
Resident Agent:
____________________________________________________
______________________________________
Signature of Resident Agent
Date
This form must be accompanied by appropriate fees. See attached fee schedule.
Nevada Secretary of State Form FOREIGN BUSTRUST1999.01
Revised on: 03/08/00
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