Application For Certificate Of Registration Of Foreign Business Trust {FBT-01}

Application for Certificate of Registrationof Foreign Business Trust Pursuant to the provisions of the undersigned, as the dulyauthorized andacting member or managingagent of the Foreign Business Trust for which this statement is submitted, under oath, does hereby state:1a. The name of the Foreign Business Trust is:1b.Assumed business name, it any:2.The state, territory or foreign country under whose laws the Foreign Business Trust was organized is: 3.Physical location of principal office:4.The name(s) and address(es) of the trustee(s) of the Foreign Business Trust is (are):(Name or Names)(Street Address)(City)(State)(ZIPCode)(Name or Names)(Street Address)(City)(State)(ZIPCode)5a.The name and physical address of the registered agent for service:(Name)(Street Address)(City)(State)(ZIPCode)5b.Acknowledgment and acceptance of appointment MUSTbe signed. I hereby acknowledge and accept the appoinmentof registered agent for and on behalf of the above named Foreign Business Trust.I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class C misde-meanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days.(Authorized Signature) 6.Afiling fee of $300.00 is submitted herewith in accordance with .IN WITNESS THEREOF, the undersigned has executed this application on this day of . (Name of Foreign Business Trust)(Trustee)State ofCounty ofSubscribed and sworn to before me, a Notary Public, this, day of,.Signature of Notary Public (Please apply seal at right)Fee: $300.00 payable to Arkansas Secretary of State FBT-01 Rev. Authorizing Officer (Type or Print) 001027021n024030n030007r013027r031n027035025016007031n031r$'#$t 003n026020031025022037004020031031022r006025013021 American LegalNet, Inc. www.FormsWorkFlow.com