Form Cf-1 - Application For Certificate Of Authority - 2017
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3West Virginia Secretary of State
Penney Barker, Manager
1900 Kanawha Blvd. East
Business & Licensing Division
Bldg. 1, Suite 157-K
Tel: (304)558-8000
Charleston, WV 25305
Fax: (304)558-8381
Website:
E-mail:
FILE ONE ORIGINAL
(Two if you want a filed stamped
Office Hours: Monday - Friday
APPLICATION FOR
copy returned to you.)
8:30 a.m. - 5:00 p.m. EST
CERTIFICATE OF AUTHORITY
FILING FEE:
$100 (profit)
$50 (non-profit)
Control #
*
Fee Waived for Veteran-owned corporation
*** The undersigned, having authority to transact business on behalf of a foreign (out-of-state) registered entity, agrees to ***
comply with the requirements of WV Code
§31D-15
to apply for Certificate of Authority.
1. Home State Information:
a
. The name of the corporation as it
is registered in its home state is:
b. State of
Date of Incorporation:
Duration (no. yrs. or perpetual):
c. NAIC# (if an insurance company):
CHECK HERE to indicate you have obtained and submitted with this application a CERTIFICATE OF EXISTENCE (GOOD
STANDING), dated during the current tax year, from your home state of original incorporation as required to process your
application. The certificate may be obtained by contacting the Secretary of State's Office in the home state of original incorporation.
2. Principal Office Information:
a.
Principal office address of the
No. & Street:
corporation is:
City:
State:
Zip Code:
b. Mailing address, if different from
Street/PO Box:
above address:
City:
State:
Zip Code:
3. West Virginia Office Information:
a. Corporate name to be used in WV:
Home state name as listed on line 1a. above, if available.
(If name is not
available, check DBA Name box below and follow special instructions under Section
[The name must contain one of the required
3a. attached to this application.)
terms such as "Corporation," "Corp." or
"Inc." See instructions for complete list of
DBA Name:
acceptable terms and requirements for use
of Trade Name.]
(See special instructions in Section 3a. regarding the Letter of Resolution
approving use of a "forced DBA Name" attached to this application.
Click here
to
see a sample Letter of Resolution.)
b. Designated (physical) office
No. & Street:
address in West Virginia, if any:
City:
State:
Zip Code:
c. Located in the County of:
County:
d. Mailing address in West Virginia,
Street/PO Box:
if different from above:
City:
State:
Zip Code:
Issued by the Office of the Secretary of State
Form CF-1
Rev. 01/17
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