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                             State of New Hampshire 
                                                             
          APPLICATION FOR CERTIFICATE OF AUTHORITY - FOR PROFIT FOREIGN CORPORATION 
                             NOTES FOR COMPLETING FORM 40 (RSA 293-A:15.03) 
 
1.  The form must be legibly printed or typed on 8.5” x 11” paper and maintain 1” margins.  Pencil or erasable ink is not 
    acceptable. 
     
2.  Article First:  The EXACT name of the corporation as registered with the state of incorporation’s secretary of state.  
    The name must match exactly as on record including punctuation wherever it appears on the Form 40. 
     
3.  Article Second:  If the name of the corporation does not contain the word "Corporation", "Incorporated" or "Limited" 
    or an abbreviation "Corp.", "Inc." or "Ltd.", insert the name of the corporation with the word or abbreviation which it 
    elects to add thereto for use in New Hampshire. 
     
    OR 
     
    If the corporate name is not available for use in New Hampshire, enter the name to be used in New Hampshire.  In 
    this case a trade name application must be filed with an additional $50.00 fee and a copy of a board of directors' 
    resolution to use the trade name in New Hampshire.  The board of directors' resolution must be signed by the 
    SECRETARY of the corporation.  (A corporate designation cannot be used on the trade name.) 
     
4.   Article Third:  The complete address of its principal office.  This must be a street address, city, state and zip code; 
    post office box, if any, may be included.  All mail will be directed to this address unless otherwise specified. 
     
5.   Principal business information is optional and is not part of Article Third. 
     
6.  Article Fourth:  The state of incorporation or country (if outside the U.S.) must be listed.”. 
     
7.  Article Fifth:  The exact date of incorporation with the corporation’s state of domicile’s Secretary of State.  This must 
    be a month/day/year date.  The period of duration is to be listed.  If there is none then it must be listed as “perpetual” 
    or “ongoing  
     
8.  Article Sixth:  Per RSA 293 A:15.07, a registered agent and registered office must be provided.  The registered 
    agent must reside in New Hampshire.  The registered agent is the person who would receive service of process 
    should the corporation be sued.  The registered office is the registered agent’s business address where the registered 
    agent can be found for in-hand service of process.  A street/physical address must be provided.  Your application 
    will not be processed without an agent named or if an out of state address is listed. 
     
9.  Article Seventh:  A brief description of the type of business (e.g. real estate, hairdresser, etc.) may be listed.  This is 
    not required by statute. 
     
10. Article Eighth:  Please list the names and addresses of all of the current officers and directors; use an additional 
    sheet if necessary.  If the laws in your state of incorporation do not require directors, please indicate in the space 
    provided for the directors “none required by law”. 
     
11. Application Signatures:  The forms must be signed by the chairman of the board of directors, president or another 
    officer; or see RSA 293-A:1.20(f) for alternative signatures. 
     
12. The total filing fee to register is $100.00, payable to the State of New Hampshire. 
 
PLEASE NOTE:  The name will be searched for availability upon receipt of these documents.  If the filing has been 
accepted, you will receive a filed-stamped copy within 30 days.  If you do not receive an acknowledgement, please 
contact our office.  Checks are deposited upon receipt.  If the check has been cashed, it only indicates we have received 
the document.  A cashed check is not an indication that the document has been accepted and filed.  Please call the 
Corporation Division (603-271-3246) with any questions you may have regarding this application. 
 
          Mailing Address - Corporation Division, NH Dept. of State, 107 N Main St, Rm 204, Concord, NH 03301-4989 
                   Physical Location - State House Annex, 3rd Floor, Rm 317, 25 Capitol St, Concord, NH 
                                                                                                        Form 40  (Instruct.) 

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                         State of New Hampshire 
 
Filing fee:  $100.00                                                                           Form 40 
Use black print or type.                                                    RSA 293-A:15.03 
 
                         APPLICATION FOR CERTIFICATE OF AUTHORITY 
                         OF A FOR PROFIT FOREIGN CORPORATION 
 
PURSUANT TO THE PROVISIONS of the New Hampshire Business Corporation Act, the undersigned 
corporation hereby applies for a certificate of authority to transact business in New Hampshire and for 
that purpose submits the following statement: 
 
FIRST:  The name of the corporation is                                                                      
                                                                                                           . 
 
SECOND:  The name which it elects to use in New Hampshire is                                                
                                                                                                           . 
THIRD:  The complete address (including zip code and post office box, if any) of its principal office is:  
                                                                                                           . 
      (no. & street)                                          (city/town)   (state)            (zip code) 
                               Principal Business Information: 
  Principal Mailing Address:                                                                                
                               (no. & street)                 (city/town)   (state)            (zip code) 
  Business Phone:                                           
  Business Email:                                           
  ____ Please check if you would prefer to receive the Annual Report Reminder Notice by email. 
 
FOURTH:  It is incorporated under the laws of                             . 
 
FIFTH:  The date of its incorporation is                        and the period of its duration is 
                         . 
 
SIXTH:  The name of its registered agent  IN NEW HAMPSHIRE is: 
                                                                                                           . 
The complete address of its registered office IN NEW HAMPSHIRE (agent's business address) is: 
                                                                                                           . 
      (no. & street)                                          (city/town)   (state)            (zip code) 
 
SEVENTH:  Describe the principal purpose or purposes which it proposes to pursue in the transaction of 
business in New Hampshire (and if known, list the NAICS Code and Sub Code)                                  
                                                                                                            
                                                                                                           . 
 
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                                                                                               Form 40 

APPLICATION FOR CERTIFICATE OF AUTHORITY                                                            Form 40 
OF A FOR PROFIT FOREIGN CORPORATION                                                                        (Cont.) 
 
EIGHTH:  The names and usual business addresses of its current officers and directors are: (If there are 
additional officers or directors, attach additional sheet OR if the laws of the state of incorporation do not 
require directors, indicate below.) 
 
             Name                                        Title                           Address 
 
OFFICERS 
 
DIRECTORS 
 
                                                                              (Corporate Name) 
 
                                                                              (Signature) 
 
                                                                              (Print or type name) 
 
                                                                              (Title) 
 
                                                               Date signed:                                     
 
Note:  The sale or offer for sale of capital stock of the corporation will comply with the requirements of the 
New Hampshire Uniform Securities Act (RSA 421-B).  The capital stock of the corporation:  1) has been 
registered or when offered will be registered under RSA 421-B; 2) is exempted or when offered will be 
exempted under RSA 421-B; 3) is or will be offered in a transaction exempted from registration under 
RSA 421-B; 4) is not a security under RSA 421-B; OR 5) is a federal covered securities under RSA 421-
B.  The statement above shall not by itself constitute a registration or a notice of exemption from 
registration of securities within the meaning of sections 448 and 461(i)(3) of the United States Internal 
Revenue Code and the regulation promulgated thereunder. 

DISCLAIMER:  All documents filed with the Corporation Division become public records and will be available for 
public inspection in either tangible or electronic form. 
 
  Mailing Address - Corporation Division, NH Dept of State, 107 N Main St, Rm 204, Concord, NH 03301-4989 
      Physical Location - State House Annex, 3rd Floor, Rm 317, 25 Capitol St, Concord, NH 
 
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                                                                                                   Form 40  (9/2015)