Georgia > Secretary Of State > Corporation
Application For Certificate Of Authority For Foreign Limited Liability Company BR241 - Georgia
| Application For Certificate Of Authority For Foreign Limited Liability Company Form. This is a Georgia form and can be used in Corporation Secretary Of State . |
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OFFICE OF SECRETARY OF STATE 237 Coliseum Drive Macon, Georgia 31217 (404) 656-2817 Registered agent, officer, entity status information via the Internet sos.georgia.gov/corporations CORPORATIONS DIVISION Brian P. Kemp Secretary of State APPLICATION FOR CERTIFICATE OF AUTHORITY FOR FOREIGN LIMITED LIABILITY COMPANY IMPORTANT Remember to include your e-mail address when completing this transmittal form. Providing your e-mail address allows us to notify you via e-mail when we receive your filing and when we take action on your filing. Please enter your e-mail address on the line below. Thank you. E-Mail: _____________________________________________________________________ N O T I C E T O AP P L I C AN T : P R I N T P L AI N L Y O R T Y P E R E M AI N D E R O F T H I S F O R M 1. Limited Liability Company Name Name Reservation Number (Optional) Date Business Commenced (Or Proposed) in Georgia (NOTE: If the date provided here is more than 30 days prior to the date the application is received by the Secretary of State, a $500 penalty must be paid; penalty is statutory and cannot be waived by Secretary of State.) 2. Name of filing person (certificate will be mailed to this person, at address below) Address 3. Jurisdiction (Home state/country) 4. Address of Principal Place of Business 5. Name of Registered Agent in Georgia Registered Office Street Address in Georgia (Post office box or mail drop not acceptable for registered office address) City 6. Manager's Name & Address (Person w/responsibility for maintaining records) 7. Address Where Limited Liability Company Records Are Maintained 8. City State Zip Code City State Zip Code County GA State Zip Code City State Zip Code Date of Organization in home state City Telephone Number State Zip Code NOTICE: Mail or deliver an original and one copy of this form and the filing fee of $225.00 to the Secretary of State at the above address. Filing fees are NON-refundable. This application is signed by a person duly authorized to sign such instruments by the laws of the jurisdiction under which the foreign limited liability company is organized. The foreign limited liability company undertakes to keep its records at the address shown in #7 above until its registration in Georgia is canceled or withdrawn. The foreign limited liability company, in accordance with Title 14 of the Official Code of Georgia Annotated, appoints the Secretary of State as agent for service of process if no agent has been appointed in Georgia or, if appointed, the agent's authority has been revoked or the agent cannot be found or served by the exercise of reasonable diligence. Authorized Signature Date Request certificates and obtain entity information via the Internet: http://sos.ga.gov/corporations FORM 241 American LegalNet, Inc. www.FormsWorkFlow.com
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