Application For A Certificate Of Registration To Transact Business In Virginia As A Foreign Business Trust

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COMMONWEALTH OF VIRGINIA
STATE CORPORATION COMMISSION
BTA1242
APPLICATION FOR A CERTIFICATE OF REGISTRATION
(04/09)
TO TRANSACT BUSINESS IN VIRGINIA AS A FOREIGN BUSINESS TRUST
1. The name of the foreign business trust is (include, if required, any “for use in Virginia” name in parentheses)
______________________________________________________________________________
______________________________________________________________________________.
2. The foreign business trust was formed under the laws of
___________________________________________ on ______________________________.
(state or other jurisdiction of formation)
(date of business trust’s formation)
3. (Mark if applicable:)
The business trust was previously authorized or registered with the
Commission to transact business in Virginia as a foreign business entity. (See instructions.)
Set forth
the additional required information on an attachment.
4. A. The name of the business trust’s registered agent in VIRGINIA is
___________________________________________________________________________.
B. The registered agent is (mark appropriate box):
(1) an INDIVIDUAL who is a resident of Virginia and
a trustee or officer of the business trust
an officer or director of a corporation that is a trustee of the business trust
a general partner of a general or limited partnership that is a trustee of the business trust
a member or manager of a limited liability company that is a trustee of the business trust
a trustee of a business trust or other trust that is a trustee of the business trust
a member of the Virginia State Bar
OR
(2)
a domestic or foreign stock or nonstock corporation, limited liability company, registered
limited liability partnership or business trust authorized to transact business in Virginia.
C. The business trust’s VIRGINIA registered office address, including the street and number, if
any, which is identical to the business office of the registered agent, is
_____________________________________________________________, VA __________,
(number/street)
(city or town)
(zip)
which is physically located in the
county or
city of _______________________________.
5. The Clerk of the Commission is irrevocably appointed as the agent of the foreign business trust for service
of process if the business trust fails to maintain a registered agent in Virginia as required by § 13.1-1220 of
the Code of Virginia, the registered agent's authority has been revoked, the registered agent either has
resigned, or the registered agent cannot be found or served with the exercise of reasonable diligence.
6. The post office address, including the street and number, if any, of the foreign business trust’s principal office is
______________________________________________________________________________.
(number/street)
(city or town)
(state)
(zip)
7. The foreign business trust is a “foreign business trust” as defined in § 13.1-1201 of the Code of Virginia.
Executed in the name of the foreign business trust by:
_________________________________
________________
_______________________
(signature)
(date)
(telephone number (optional))
_________________________________
______________________________________________
(printed name)
(title (e.g., trustee or title of officer)) (see instructions for requisite signature)
PRIVACY ADVISORY: Information such as social security number, date of birth, maiden name, or financial institution account numbers is NOT required to be included
in business entity documents filed with the Office of the Clerk of the Commission. Any information provided on these documents is subject to public viewing.
SEE INSTRUCTIONS ON THE REVERSE

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