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CERTIFICATE OF QUALIFICATION

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CERTIFICATE OF QUALIFICATION
TO: MUSCOGEE (CREEK) NATION SECRETARY OF THE NATION
P.O. Box 580
Okmulgee, OK 74447
(918) 732-7615
PLEASE NOTE: This form must be accompanied by an original certificate from the certifying officer of
the jurisdiction of the corporation’s organization attesting to the corporation’s existence under the laws of
such jurisdiction. This certificate is most commonly known as a Certificate of Good Standing or a
Certificate of Existence and is usually issued by the Secretary of the Nation’s Office. This certificate MUST
be dated within the last 60 days.
The undersigned corporation, for the purpose of transacting business in the Muscogee (Creek) Nation
pursuant to Section 1130 of the Muscogee (Creek) Nation General Corporation Act, hereby states:
1. The name of the corporation:
_____________________________________________________________________________________
2. The corporation was duly incorporated under the laws of the State/Country of:________________
3. The mailing address of the corporation’s principal place of business, wherever located:
________________________________________________________________________________________
4. The name of the registered agent in the Muscogee (Creek) Nation is the MUSCOGEE (CREEK)
NATION SECRETARY OF THE NATION.
5. The name and address of its additional registered agent in the Muscogee (Creek) Nation, if any:
_____________________________________________________________________________________
Name Street City County Zip Code
(P.O. BOXES ARE NOT
ACCEPTABLE)
6. The business it proposes to do in the Muscogee (Creek) Nation:
7. The business which the corporation proposes to do in the Muscogee (Creek) Nation is a business the
corporation is authorized to do in the jurisdiction of its incorporation.
8. The assets of said corporation are: $_______________________________ and the liabilities thereof
MINIMUM FEE: $300.00
Fee based on either total
authorized capital OR capital
invested in Oklahoma
PRINT CLEARLY
are:
$_____________________. The assets and liabilities indicated are as of a date within six months prior to
the filing date of this certificate.
9. This corporation is organized as ___ Profit Or ___ Not for Profit (Check one)
10. If organized for profit, the aggregate number of its authorized shares, itemized by classes, par value
of shares, shares without par value, and series, if any, within a class is:
PAR VALUE PER SHARE OR STATE
THAT SHARES HAVE NO PAR
CLASS
SERIES NUMBER OF SHARES VALUE
11. The maximum amount of capital such corporation intends and expects to invest in this Nation at any
time during the current fiscal year is: $_______________. “Invested capital” is defined as the value of the
maximum amount of funds, credits, securities and property of whatever kind existing at any time during the
fiscal year in the Muscogee (Creek) Nation and used or employed by such corporation in its business carried
on in this Nation.
IN WITNESS WHEREOF, said corporation causes 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)
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CERTIFICATE OF QUALIFICATION

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Completed 1 February 2022

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