ANNUAL FOREIGN CORPORATION
CERTIFICATE OF CAPITAL
TO: MUSCOGEE (CREEK) NATION SECRETARY OF THE NATION
P.O. Box 580
Okmulgee, OK 74447
(918) 732-7615
PLEASE NOTE: This certificate MUST be filed annually on the anniversary of a foreign corporation’s
qualification in this Nation.
The undersigned corporation, for the purpose of transacting business in the Muscogee (Creek) Nation
pursuant to Section 1142A.17 of the Muscogee (Creek) Nation General Corporation Act, hereby states:
1. The name of the foreign corporation is: _______________________________________________
2. The foreign corporation has invested the following amount of capital in the Nation subsequent to the
issuance to it of a certificate to do business in the Nation:
_____________________________________________________________________________________
3. If applicable, the amount of capital previously paid upon by the foreign corporation:
_____________________________________________________________________________________
4. Please Note: If the amount of capital so invested as shown by said certificate exceeds the amount
formerly paid upon, the corporation, at the time of filing said certificate, shall pay to the Secretary of the
Nation an additional fee equal to one-tenth of one percent (1/10 of 1%) of the amount of such excess capital
so invested by the corporation in the Nation; provided, that no such corporation shall be required to pay a
filing fee on an amount in excess of its authorized capital, or to file the certificate provided for in this
paragraph after it shall have paid a filing fee on its total authorized capitalization.
IN WITNESS WHEREOF, said corporation has caused this certificate to be executed in its name by its
President or Vice President and attested by its Secretary or Assistant Secretary, this _____ day of
____________________, _______.
_______________________________________
By its _______President
_______________________________________
(PLEASE PRINT NAME)
Attest:
_____________________________________
By its _______Secretary
_____________________________________
(PLEASE PRINT NAME)
MINIMUM FEE: $300.00
Fee based on either total
authorized capital OR capital
invested in Oklahoma
PRINT CLEARLY
