Form Cscl/cd-760 - Application For Certificate Of Authority To Transact Business In Michigan - 2014

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CSCL/CD-760 (Rev. 01/14)
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
CORPORATIONS, SECURITIES & COMMERCIAL LICENSING BUREAU
Date Received
(FOR BUREAU USE ONLY)
This document is effective on the date filed, unless a
subsequent effective date within 90 days after received
date is stated in the document.
Name
Address
City
State
ZIP Code
EFFECTIVE DATE:
Document will be returned to the name and address you enter above.
B
If left blank, document will be returned to the registered office.
APPLICATION FOR CERTIFICATE OF AUTHORITY
TO TRANSACT BUSINESS IN MICHIGAN
For use by Foreign Limited Liability Companies
(Please read information and instruction on last page)
Pursuant to the provisions of Act 23, Public Acts of 1993, the undersigned execute the following Application:
1. The name of the limited liability company is:
2. (Complete this item only if the limited liability company name in Item 1 is not available for use in Michigan.)
The assumed name of the limited liability company to be used in all its dealings with the Bureau and in the transaction of
its business in Michigan is:
3. It is organized under the laws of
The date of its organization is
The duration of the limited liability company if other than perpetual is
4. The address of the office required to be maintained in the state of organization or, if not so required, the principal office
of the limited liability company is:
(Street Address)
(City)
(State)
(ZIP Code)

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