Form 49464 - Of A New Hampshire Limited Liability Company Of A New Hampshire Limited Liability Company - 2012

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APPLICATION FOR CERTIFICATE OF AUTHORITY
CONNIE LAWSON
SECRETARY OF STATE
OF A FOREIGN LIMITED LIABILITY COMPANY
Mail to the following address:
State Form 49464 (R4 / 4-12)
BUSINESS SERVICES DIVISION
Approved by State Board of Accounts, 2007
302 W. Washington Street, Room E018
Indianapolis, Indiana 46204-2700
Indiana Code 23-18-11-4
Telephone: (317) 232-6576
Filing Fee: $ 90.00
APPLICATION FOR CERTIFICATE OF AUTHORITY
OF
A FOREIGN LLC
TO TRANSACT BUSINESS IN THE STATE OF INDIANA
The undersigned manager or member of the above ______________________________________________________________ LLC
(
)
desiring to effectuate the admittance of the LLC to transact business in the State of Indiana, under the name of
_________________________________________________________________________________ certifies the following facts:
(
)
ARTICLE I: NAME AND PRINCIPAL OFFICE
Name of LLC (
)
Address of the principal office of LLC (
)
ARTICLE II: REGISTERED OFFICE AND REGISTERED AGENT
Name of the registered agent of the LLC
Indiana address of the registered office of LLC (
)
ARTICLE III: DATE OF ORGANIZATION AND DURATION OF EXISTENCE
Date of organization in domicilary state (
)
Expected period of duration listed in the Articles of Organization (
)
ARTICLE IV: MANAGEMENT
The Articles of Organization state that the LLC is to be managed by its members.
The Articles of Organization provide for a manager or managers.
In witness whereof, the undersigned being the___________________________________________________ of said LLC executes this
(
)
Application for Certificate of Authority, and verifies subject to penalties of perjury, that the facts contained herein are true this
__________________day of __________________________ , 20_______.
Signature
Printed name

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