Certificate Of Business Trust - Nevada Secretary Of State

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DEAN HELLER
Office Use Only:
Certificate of
Secretary of State
Business Trust
101 North Carson Street, Suite 3
Carson City, Nevada 89701-4786
(PURSUANT TO NRS 88A)
(
775) 684 5708
Important: Read attached instructions before completing form.
1. Name of Business
Trust:
(must include the words
business trust, B.T. or BT)
2. Resident Agent Name
and Street Address:
________________________________________________________________________________
(must be a Nevada address
Name
where process may be served)
__________________________________________________________, NEVADA ____________
Street Address
City
Zip Code
3. Names, Addresses,
of Trustees:
(must include the name and
_______________________________________________________________________________
p.o. box or street address,
either residence or business
Name
of at least one trustee
attach additional pages if
more than 2 to be listed)
__________________________________________________________, _________ ___________
Address
City
State
Zip Code
________________________________________________________________________________
Name
__________________________________________________________, _________ ___________
Address
City
State
Zip Code
4. Purpose:
(Optional–See Instructions)
5. Other Matters:
Number of additional pages attached: ________
)
(See instructions
6. Names, Addresses
and Signatures of
_____________________________________
_______________________________________
Each Person
Name
Signature
Forming Business
Trust:
__________________________________________________________, _________ ___________
(must be signed by each
person forming the business
Address
City
State
Zip Code
trust; attach additional pages if
there are more than 2)
_____________________________________
_______________________________________
Name
Signature
_________________________________________________________, _________ ___________
Address
City
State
Zip Code
7. Certificate of
Acceptance of
I, ______________________________________________________hereby accept appointment as Resident Agent
Appointment of
for the above named Business Trust.
Resident Agent:
_____________________________________________________
______________________________________
Signature of Resident Agent
Date
This form must be accompanied by appropriate fees. See attached fee schedule.
Nevada Secretary of State Form BUSTRUSTCERT1999.01
Revised on: 03/29/00

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