Limited Liability Company

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

Name of Limited - Liability Company

Please provide 3 choices for the name, in order of preference, so in the event your preferred choice is not available we can proceed with your next choice.

1st Choice*

2nd Choice

3rd Choice

Check if a Series Limited-Liability Company

Yes

Check if a Restricted Limited-Liability Company

Yes

Type of Agent?

Commercial Registered Agent
Noncommercial Registered Agent
Office or Position with Entity

Name

Name of Noncommercial Registered Agent OR Name of Title of Office or Other Position with Entity

Street Address

Street Address Address Line 2 City State ZIP Code

Is your mailing address different?

Yes
No

Mailing Address

Street Address Address Line 2 City State ZIP Code

Latest date upon which the company is to dissolve (if existence is not perpetual):

Company shall be managed by:

Manager(s)
Member(s)

Name and Address of each Manager or Managing Member:

Name

First Last

Street Address

Street Address Address Line 2 City State ZIP Code

Name

First Last

Street Address

Street Address Address Line 2 City State ZIP Code

Name

First Last

Street Address

Street Address Address Line 2 City State ZIP Code

Name and Address of Organizer

Name

First Last

Street Address

Street Address Address Line 2 City State ZIP Code

INITIAL/ANNUAL LIST OF MANAGERS OR MANAGING MEMBERS AND STATE BUSINESS LICENSE APPLICATION OF:

Name of Limited-Liability Company

Entity Number

For the filing period (of)

For the filing period (to)

Manager or Managing Members

Pursuant to NRS Chapter 76, this entity is exempt from the business license fee

Yes

Exemption code

001 - Governmental Entity
006 - NRS 680B.020 Insurance Co

Certificate of Acceptance of Appointment by Registered Agent

Name of Represented Business Entity

Name of Appointed Registered Agent

First Last

Choose one

commercial registered agent listed with the Nevada Secretary of State
noncommercial registered agent with the following address for service of process
represented entity accepting own service of process at the following address

Noncommercial Registered Agent

Address

Street Address Address Line 2 City State ZIP Code

Is the mailing address different?

Yes
No

Mailing Address

Street Address Address Line 2 City State ZIP Code

Represented entity accepting own service of process

Title of Office or Position of Person in Represented Entity

Address

Street Address Address Line 2 City State ZIP Code

Is the mailing address different?

Yes
No

Mailing Address

Street Address Address Line 2 City State ZIP Code

Application Fee

Price:

Please select an additional service that you wish to have processed

Priority Request / Rush Processing + $75

Total

$0.00

Consent

I agree

I CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME.

NAME:*

Type your full name to sign this secure webform

Signature*

CAPACITY OF PERSON SIGNING (E.G., AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)

Authorization*

I agree

I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected applications. I understand that my application will be processed in the order in which it is received by Corporation Center, a private fee-for-service company, not owned or operated by any governmental agency. I understand that application and processing fees are non-refundable as per Corporation Center’s no refund policy.

Credit Card

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By clicking submit you agree to these Terms and Conditions and the above authorization of payment.