Application For Authority Page 2
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3FIFTH:
(Check and complete the statement that applies)
The address of the office required to be maintained in the jurisdiction of its formation is:
If no office is required to be maintained in the jurisdiction of its formation, the address of the
principal office of the limited liability company is:
SIXTH:
The foreign limited liability company is in existence in its jurisdiction of formation at
the time of filing of this application.
SEVENTH:
The name of the authorized officer in its jurisdiction of its formation where a
copy of its articles of organization is filed is (e.g. "Secretary of State"):
The address for such officer is:
X
Capacity of signer (Check appropriate box):
(Signature)
Member
Manager
Authorized Person
(Type or print name)
Please Note: A certificate of existence or, if no such certificate is issued by the jurisdiction of
formation, a certified copy of the articles of organization of the limited liability company and all
subsequent amendments therefore, or if no articles of organization have been filed, a certified copy
of the certificate filed as its organizational base and all amendments thereto, must be attached to
the application for authority when submitted for filing. If such certificate or certified copy is in a
foreign language, a translation in English under oath of the translator shall be attached.
Page 2 of 3
DOS-1361-f-l (Rev. 06/12)
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Parent category: Business