Application For Authority
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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 Ave.
Albany, NY 12231
APPLICATION FOR AUTHORITY
OF
(Insert name of Foreign Limited Liability Company)
Under Section 802 of the Limited Liability Company Law
FIRST:
The name of the limited liability company is:
If the name does not contain the required words or abbreviation pursuant to Section 204 of the
Limited Liability Company Law, the following words or abbreviation is added to the name for use
in this state:
(Do not complete this section unless the limited liability company’s true name is not available
pursuant to §204 of the Limited Liability Company Law.) The fictitious name under which the
limited liability company will do business in New York is:
(The fictitious name must contain the words "Limited Liability Company" or abbreviation "LLC" or "L.L.C.")
SECOND:
The jurisdiction of organization of the limited liability company is:
. The date of its organization is:
.
THIRD:
The county within New York state in which the office, or if more than one office, the
principal office of the limited liability company is to be located is:
FOURTH:
The Secretary of State is designated as agent of the 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-1361-f-l (Rev. 06/12)
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