Natalie E. Tennant
Penney Barker, Manager
Secretary of State
Corporations Division
1900 Kanawha Blvd E.
Tel: (304)558-8000
Bldg 1, Suite 157-K
Fax: (304)558-8381
Charleston, WV 25305
Hrs: 8:30 a.m. – 5:00 p.m. ET
APPLICATION FOR
FILE ONE ORIGINAL
(Two if you want a filed
BUSINESS TRUST
stamped copy returned to you)
FEE: $50.00
Control # ______________
**One original copy of the declaration, articles, or agreement of trust creating the business trust should
accompany this application**
1. The name of the business trust is:
_____________________________________________
2. Check and complete the appropriate organizational information:
It is organized under the laws of West Virginia.
It is organized under the laws of: ________________ on the following date: ____________
3. Name and address to whom Notice
_____________________________________________
of Process may be sent:
_____________________________________________
_____________________________________________
4. Address of the Business Trust’s
_____________________________________________
principal office:
_____________________________________________
5. Purpose for which the Business Trust
_____________________________________________
is formed:
_____________________________________________
6. Name and address of all trustees having authority to act on behalf of the business trust (attach
additional pages if necessary)
Name
Address
City, State, Zip
____________________________ _________________________ __________________________
____________________________ _________________________ __________________________
7. Read and check the following box:
The business trust hereby consents to the recognition of the
application to the business trust of the laws of this state with respect to
corporations.
8. Signatures: Application must be signed by a trustee of the business trust who has signature authority.
Signature: __________________________________ Date: ________________________________
Charitable Registration: If your company receives contributions, donations or grants, registration as a charitable
organization may be required. Contact our officer for more information or visit .
Form BT-1
Issued by the Office of the Secretary of State
Revised 10/09