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APPLICATION FOR CERTIFICATE OF AUTHORITY
(profit or non-profit)

____________________________________________________________
(Name of profit corporation, non-profit corporation; foreign bank; or trust company)

A corporation created and existing under the laws of the state (country) of
__________________________________

Its date of incorporation___________. Period of duration_____________________

General purpose______________________________________________________
____________________________________________________________________

Name of registered agent in Vermont____________________________
An agent is a person or "corporation", residing IN VT, who is authorized to receive service of process. A corp cannot act as its own agent.

Agent's address:
__________________________________
City __________________________________ VERMONT   Zip_______

Address of principle office:
__________________________________
City __________________________________ State________Zip______

The fiscal year ends the month of_________. (DECEMBER will designated as the month your year ends unless you state differently.)

NAME of deceased VT resident or deceased resident of another state owning property in Vermont, for whom the bank or trust will act as executor or trustee:
______________________________________

EXECUTOR or TRUSTEE: The Secretary of State will not issue a certificate of authority unless
(1) by the law of the applicants incorporation the foreign banking corporation or trust company may be appointed and may accept appointment to act as executor under the last will and testament of any deceased person in the state of its appointment; and
(2) banking corporations or trust companies of this state are permitted to act as executors in the state where such foreign banking corporation or trust company has its domicile.

President______________________________________
Address_________________________________________________

V.President_________________________________________
Address_________________________________________________

Secretary___________________________________________
Address_________________________________________________

Treasurer___________________________________________
Address_________________________________________________

Director____________________________________________
Address_________________________________________________

Director____________________________________________
Address_________________________________________________

Director____________________________________________
Address_________________________________________________

Signature________________________________
Title_____________________________Date______________

A CERTIFICATE OF GOOD STANDING, (DATED NO EARLIER THAN 30 DAYS PRIOR TO FILING), MUST BE ATTACHED FROM THE STATE OF ORIGIN. THIS DOCUMENT MUST BE TYPEWRITTEN OR PRINTED AND FILED IN DUPLICATE.
An annual report is due within 2-1/2 months of the close of its fiscal year end. (Non-profit corporations file a biennial report) The report will be mailed to your agent when it is due. Failure to file this report will result in termination of its certificate of authority.
FEE: $100.00