Application For Authority Template
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1
2
3New York State
Department of State
Division of Corporations, State Records and Uniform Commercial Code
One Commerce Plaza, 99 Washington Avenue
Albany, NY 12231
APPLICATION FOR AUTHORITY
OF
(Insert name of Foreign Professional Service Limited Liability Company)
Under Section 1306 of the Limited Liability Company Law
FIRST:
The name of the foreign professional service limited liability company is:
If the name does not contain the required words or abbreviation pursuant to Section 1306(a)(1)
of the Limited Liability Company Law, the following words or abbreviation is added to the name
for its use in this state:
SECOND:
(A certificate of existence by an authorized officer of the jurisdiction of its formation must be attached to this
The jurisdiction of organization of the foreign professional service limited liability
application.)
company is:
The date of its formation is:
THIRD:
The foreign professional service limited liability company shall practice the
profession(s) of
in the State of New York.
FOURTH:
The foreign professional service limited liability company is authorized to practice
such profession(s) in the jurisdiction of its formation.
FIFTH:
The city, incorporated village or town and the county within New York State in which
its office is to be located is:
SIXTH
: The Secretary of State is designated as agent of the foreign professional service
limited liability company upon whom process against it may be served. The address within or
without this state to which the Secretary of State shall mail a copy of any process served against
him or her is:
Page 1 of 3
DOS-1369-f-l (Rev. 06/12)
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