Application For Authority Template Page 3
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1
2
3APPLICATION FOR AUTHORITY
OF
(Insert name of Foreign Professional Service Limited Liability Company)
Under Section 1306 of the Limited Liability Company Law
Filed by:
(Name)
(Mailing address)
(City, State and ZIP code)
NOTE: This form was prepared by the New York State Department of State for filing an application for authority by
a foreign professional service limited liability company. It does not contain all optional provisions under the law.
You are not required to use this form. You may draft your own form or use forms available at legal supply stores.
The Department of State recommends that legal documents be prepared under the guidance of an attorney. The
certificate must be submitted with a $200 filing fee made payable to the Department of State.
(For office use only)
Page 3 of 3
DOS-1369-f-l (Rev. 06/12)
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