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Application To Register A Foreign Corporate Or LLC Name - Vermont

Application To Register A Foreign Corporate Or LLC Name Form. This is a Vermont form and can be used in Miscellaneous Secretary Of State .
 Fillable pdf Last Modified 9/18/2015
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Business ID: APPLICATION TO REGISTER THE BUSINESS NAME of a Foreign (non-Vermont) Corporation PLEASE RETURN EVIDENCE OF FILING TO: (Name and Address) (Profit or Nonprofit), or Limited Liability Company (LLC, PLC, or L3C) Expires: PRINT RESET Processed by: FOR OFFICE USE ONLY MUST BE PRINTED OR TYPEWRITTEN (11A V.S.A. § 1.20.(d)) 1. FOREIGN BUSINESS ENTITY: REQUIRED a. Business Name: b. State of Incorporation/Organization: c. Date of Incorporation/Organization: d. Business Purpose: BRIEF DESCRIPTION OF PRIMARY GOODS OR SERVICES PROVIDED UNDER THIS BUSINESS NAME 2. TYPE OF BUSINESS ENTITY: REQUIRED Profit Corporation (11A V.S.A. § 4.03) Nonprofit Corporation (11B V.S.A. § 4.03) Limited Liability Company (LLC, PLC, or L3C) (11 V.S.A. § 3007) 3. TYPE OF FILING: REQUIRED New Registration. EFFECTIVE THROUGH THE PERIOD ENDING DECEMBER 31 OF THE FILING YEAR ­ OR IF FILED BETWEEN OCTOBER 1 AND DECEMBER 31: THE PERIOD ENDING DECEMBER 31 OF THE FOLLOWING YEAR. Renewal MAY ONLY BE FILED B ETWEEN OCTOBER 1 AND DECEMBER 31 OF EACH YEAR ­ EFFECTIVE THROUGH THE PERIOD ENDING DECEMBER 31 OF THE FOLLOWING YEAR 4. CERTIFICATE OF GOOD STANDING OR EXISTANCE: REQUIRED A Certificate of Good Standing or Existence (or equivalent document) this entity from the US State or NonUS country of Incorporation or Organization is enclosed. 5. FILER REQUIRED: a. Name: b. Title: c. Address: City/Town: State: ZIP: d. EMail Address: 6. CERTIFICATION OF STATEMENT: REQUIRED I hereby certify, as the filler listed in Block 5 that the above information is accurate, is provided in duplicate with a Statement of Good Standing/Existence, a selfaddressed envelope, and a Check or Money Order made payable to "VT SOS in the amount of $20.00. Signature Filer Date 11 VSA§3007/11A VSA§403 (REV. 04/01/14) VERMONT SECRETARY OF STATE ­ DIVISION OF CORPORATIONS FORM NAME1b Page 1 of 1 FOREIGN NAME REGISTRATION American LegalNet, Inc. www.FormsWorkFlow.com
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