BCS/CD-760 (Rev . 04/11)
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
BUREAU OF COMMERCIAL SERVICES
Date Received:
(FOR BUREAU USE ONLY)
This document is effective on the date filed, unless
a subsequent effective date within 90 days after
received date is stated in the document.
Name
Address
City
State
Zip Code
EFFECTIVE DATE:
Ç
Document will be returned to the name and address you enter above.
È
If left blank document will be mailed to the registered office.
B
APPLICATION FOR CERTIFICATE OF AUTHORITY
TO TRANSACT BUSINESS IN MICHIGAN
For use by Foreign Limited Liability Companies
(Please read information and instructions on last page)
Pursuant to the provisions of Act 23, Public Acts of 1993, the undersigned limited liability company executes
the following Application:
1. The name of the limited liability company is:
2. (Complete this item only if the limited liability company name in item 1 is not available for use in Michigan.)
The assumed name of the limited liability company to be used in all its dealings with the Bureau and in the
transaction of its business in Michigan is:
3. It is organized under the laws of _______________________________________________________________.
The date of its organization is _________________________________________________________________.
The duration of the limited liability company if other than perpetual is __________________________________.
4. The address of the office required to be maintained in the state of organization or, if not so required, the principal
office of the limited liability company is:
(Street Address)
(City)
(State)
(ZIP Code)