Free CF0057 - Arizona

APPLICATION TO REGISTER NAME OF A FOREIGN CORPORATION IN ARIZONA Pursuant to A.R.S. §§10-403 & 10-3403 1. The name of the Foreign Corporation is: _____________________________________________________________. 2. If the exact name of the corporation is not available for use in this state, then the corporation may include additional words to make its name distinguishable. If applicable the name is:___________________________________________. The Corporation was incorporated in the (circle one) State, Province or Country of ______________________ on the ______ day of_________________, ______. The Corporation is engaged in the following business or nature of activities: _______________________________________________________________. Attached hereto is a certificate of existence (good standing) or a similar document from the state, province or country of incorporation, dated within sixty days of delivery of this application to the commission. The Corporation hereby applies for registration of its corporate name with any addition set forth above from the effective date of this application for a period of one year, in accordance with A.R.S. §§10-403 & 10-3403. This application is accompanied by the application fee of $10.00 (U.S.) made payable to the Arizona Corporation Commission.

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Dated this ________ day of ____________________, ________.

Signed: _______________________Title: _____________ Printed Name: ___________________________________ Mailing address:__________________________________ _______________________________________________ Phone: ________________ [optional]
Deliver or mail with a check made payable to: ARIZONA CORPORATION COMMISSION 1300 West Washington Phoenix, Arizona 85007-2929
CF: 0057 Rev: 01/2007

FAX: ______________ [optional]

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400 West Congress, Suite 221 Tucson, Arizona 85701-1347
Arizona Corporation Commission Corporations Division