Application For Certificate Of Authority Limited Liability Company

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SS-4233 (10/12)
Business Services Division
Tre Hargett, Secretary of State
State of Tennessee
INSTRUCTIONS
APPLICATION FOR CERTIFICATE OF AUTHORITY
LIMITED LIABILITY COMPANY
Applications for certificates of authority may be filed using one of the following methods:
Print and Mail: Go to Use the online tool to complete the application. Print and mail
the application along with the required filing fee to the Secretary of State’s office at 6th FL – Snodgrass Tower
ATTN: Corporate Filing, 312 Rosa L. Parks AVE, Nashville, TN 37243.
Paper submission: A blank application may be obtained by going to , by
emailing the Secretary of State at Business.Services@tn.gov, or by calling (615) 741-2286. The application is
hand printed in ink or computer generated and mailed along with the required filing fee to the Secretary of State’s
office at 6th FL – Snodgrass Tower ATTN: Corporate Filing, 312 Rosa L. Parks AVE, Nashville, TN 37243.
Walk-in: A blank application may be obtained in person at the Secretary of State Business Services Division
located at 6th FL – Snodgrass Tower, 312 Rosa L. Parks AVE, Nashville, TN 37243.
Applications for certificate of authority must be accurately completed in their entirety. Forms that are inaccurate,
incomplete or illegible will be rejected.
A Limited Liability Company application for certificate of authority sets forth the items required under T.C.A. §48-249-904.
A Limited Liability Company application for certificate of authority must be accompanied by a certificate of existence or a
document of similar import (for example, a certificate of good standing) duly authenticated by the Secretary of State or
other official having custody of the Limited Liability Company records in the state or country under whose law it is
organized. The certificate shall not bear a date of more than two (2) months prior to the date the application is filed in this
state.
APPLICATION FOR CERTIFICATE OF AUTHORITY
1. The name of the Limited Liability Company is - Enter the name of the Limited Liability Company.
If different, the name under which the certificate of authority is to be obtained is – If the LLC will do
business in Tennessee under an assumed name, enter that name here. The Secretary of State of the State of
Tennessee may not issue a certificate of authority to a foreign Limited Liability Company if its name does not
comply with the requirements of T.C.A. § 48-249-106 of the Tennessee Revised Limited Liability Company Act. If
obtaining a certificate of authority under an assumed Limited Liability Company name, an application must be filed
pursuant to T.C.A. § 48-249-106(d).
If the foreign LLC must alter its name in order to do business in Tennessee pursuant to T.C.A. §48-249-106(a)(1)
– i.e. by including the words “limited liability company” or the abbreviation “L.L.C.” or LLC”, - the LLC may do so
without filing an application for assumed name. Use this space to indicate the name – including the necessary
Tennessee designation - under which the LLC will do business in Tennessee.
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