Free Kentucky Secretary of State - Kentucky

Kentucky Secretary of State TREY GRAYSON
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Division of Corporations BUSINESS FILINGS P.O. Box 718 Frankfort, KY 40602 (502) 564-2848 http://www.sos.ky.gov/

Application for Certificate of FNT Authority of Foreign Business Trust

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Pursuant to the provisions of KRS Chapter 386, the undersigned hereby applies for a certificate of authority on behalf of the business trust named below and for that purpose states: 1. The name of the business trust is_____________________________________________________ 2. _________________________is the state or country whose law it is organized. 3. ____________is the date of organization. If the trust has a specific date of dissolution, the date upon which it is to dissolve._______________________________________________________________ 4. The name of the registered agent is ____________________________________________________ and the street address of the registered office in Kentucky is __________________________________________________________________________________
Street City State Zip Code

5. The address of the principal office is __________________________________________________________________________________
Address City State Zip Code

6. The name and usual business address of its current trustees is ___________________________________ _____________________________________
Name ____________________________________________________ Name Address ________________________________________________________ Address

7. As of the date of filing, the business trust validly exists as a business trust under the laws of the jurisdiction of its organization. ______________________________________
Signature & Date _________________________________________________________ Type or Print Name & Title

I, ___________________________________, consent to serve as registered agent on behalf of the trust.
__________________________________________________________________ Signature of Agent __________________________________________________________________ Type or Print Name & Title

FNT (01/2008)

(See attached instructions)

Application for Certificate of Authority Business Trust Filing Instructions FOREIGN BUSINESS TRUST NAME State the name of the foreign business trust as filed in the state or country in which the business trust is organized. STATE OF ORGANIZATION The state of organization is the state or country under whose law the business trust was established. DATE OF ORGANIZATION The date of establishment is the date the business trust was established, and if the business trust has a specific date of dissolution, the latest date upon which it is to dissolve. REGISTERED AGENT AND REGISTERED OFFICE ADDRESS The registered agent may be an individual resident of Kentucky, a Kentucky limited liability company, a Kentucky corporation, a Kentucky nonprofit corporation or a foreign limited liability company or a foreign corporation, or a foreign nonprofit corporation authorized to transact business in this state. The registered office address must be a Kentucky address and contain a street address or other specific location (Highway, Rural Route, Building etc.). A mailing address consisting of only a post office box is not sufficient for the registered office address. The registered agent must give written consent to act as agent, and must state his or her title or the capacity in which he or she signs. PRINCIPAL OFFICE ADDRESS The business trust must list a principal office address. TRUSTEES List the name and business address of each trustee. Attach a continuation sheet, if necessary. WHO MAY SIGN One trustee must sign the certificate of authority of foreign business trust. NUMBER OF COPIES Submit one originally signed and one exact or conformed copy of the application. One filed-stamped copy will be returned as evidence of the filing. One file-stamped copy must then be filed with the county clerk of the county in which the registered office is situated. FILING FEE The filing fee is $15.00 Your check should be made payable to "Kentucky State Treasurer". MAILING ADDRESS Trey Grayson Secretary of State P. O. Box 718 Frankfort, KY 40602-0718 OFFICE LOCATION Room 154, Capitol Building 700 Capital Avenue Frankfort, KY 40601

WEB SITE ADDRESS Our home page address is http://www.sos.ky.gov Click on "On Line Business Database" for information on status of all business entities in Kentucky. Forms are also available on our web site. For name availability, call (502) 564-2848, press 2, and then press 1. For further information, call (502) 564-2848 or visit our web site.