SUBMIT ORIGINAL AND A COPY
TYPE OR PRINT LEGIBLY
Foreign Profit Corporation
APPLICATION FOR CERTIFICATE OF AUTHORITY
The undersigned corporation, in order to apply for a Certificate of Authority to transact business in New
Mexico under the Business Corporation Act, submits the following statement to the Secretary of State:
1. T
he name of the corporation is (must be identical to the corporate name as stated on the Certificate
of Good Standing from its domestic state):__________________________________________________
_______
_____________________________________________________________________________.
It is incorporated under the laws of:
__________________________________________________________.
2. If the corporate name does not contain the word “corporation”, “company”, “incorporated”, or
“limited”, or an abbreviation of one of these words (as required under the New Mexico Business
Corporation Act), state the corporate name as above and include the word or abbreviation it elects to
add for use in New Mexico: ______________________________________________________________
_____________________________________________________________________________________
3. The date of incorporation in its domestic state is: _________________________.
The period of duration is: _____________________________.
4. The address of the corporation’s registered office in its domestic state is:
____________________________________________________________________________________.
The address of the principal office, if different from the registered office address, is:
_____________________________________________________________________________________
5. The street address of the proposed registered office in New Mexico is: _________________________
_____________________________________________________________________________________
(P.O. Box is not acceptable. Provide a description of the geographical location if a street address does
not exist.)
The name of the registered agent at the address of the New Mexico registered office is:
_____________________________________________________________________________________
325 Don Gaspar, Suite 300 Santa Fe, NM 87501
(800) 477-3632 www.sos.state.nm.us
6. The purpose that the corporation proposes to pursue in the transaction of business in New Mexico is
(at least one specific purpose must be stated; attach additional page if needed):
_____________________________________________________________________________________
7. The names and respective addresses of the officers and directors of the corporation are (indicate the
applicable title of each officer and each director; attach additional page if needed):
Name and Title Address
_____________________________________________________________________________________
_____________________________________________________________________________________
8. The aggregate number of shares which the corporation has the authority to issue, itemized by class
and series, if any, within each class is (attach additional page if needed):
_____________________________________________________________________________________
9. The aggregate number shares that have been issued, itemized by class and series, if any, within each
class is (attach additional page if needed):
_____________________________________________________________________________________
10. Provide an estimate expressed in dollars (or “zero” or “none”, if applicable) of the following:
(a) the gross amount of business which will be transacted by the corporation during its current fiscal
year, at or from places of business located in New Mexico is:
_____________________________________________________________________________________
(b) the gross amount of business which will be transacted by it during such year, wherever transacted,
is:
_____________________________________________________________________________________
(c) the value of all property to be owned by it and located in New Mexico during such year is:
_____________________________________________________________________________________
(d) the value of all property to be owned by it during such year, wherever located, is:
_____________________________________________________________________________________
325 Don Gaspar, Suite 300 Santa Fe, NM 87501
(800) 477-3632 www.sos.state.nm.us
Dated: ____________________
____________________________________________
Name of Corporation
By____________________________________________
Signature of Authorized Officer
THIS APPLICATION MUST BE ACCOMPANIED BY A CERTIFICATE OF GOOD STANDING /EXISTENCE, ISSUED
BY THE APPROPRIATE OFFICIAL CUSTODIAN OF CORPORATE RECORDS FOR THE STATE OR COUNTRY
UNDER THE LAWS OF WHICH THE APPLYING CORPORATION ISINCORPORATED. THIS CERTIFICATE MUST
BE ORIGINAL OR ELECTRONICALLY ISSUED, AND MUST BE CURRENT WITHIN THIRTY DAYS, OR HAS NOT
EXPIRED, UPON SUBMISSION TO THE SECRETARY OF STATE.
Form FPR
(revised 06/13)
325 Don Gaspar, Suite 300 Santa Fe, NM 87501
(800) 477-3632 www.sos.state.nm.us
STATEMENT OF ACCEPTANCE OF APPOINTMENT
BY DESIGNATED INITIAL REGISTERED AGENT
I, _____________________________________________________________________, hereby
acknowledge that the undersigned individual or corporation accepts the appointment as Initial
Registered Agent of_______________________________________________, the corporation which is
named in the annexed Application for Certificate of Authority.
_________________________________________________________
(Sign on this line if the registered agent named in the application is an individual. If this line is signed,
the two lines below do not apply and must be left blank.)
CORPORATION ACTING AS A REGISTERED AGENT ONLY
(If the following lines are used, the signature line above does not apply and must be left blank.)
_________________________________________________________
(If the registered agent named in the application is a corporation, type or print the name of that
corporation here.)
By_______________________________________________________
(An authorized officer of the corporation being appointed as registered agent must sign here.)
Form F-STMNT
(revised 06/13
)
325 Don Gaspar, Suite 300 Santa Fe, NM 87501
(800) 477-3632 www.sos.state.nm.us