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APPLICATION FOR CERTIFICATE OF AUTHORITY OF A FOREIGN NONPROFIT CORPORATION TO TRANSACT BUSINESS IN THE STATE OF INDIANA State Form 37035 R9 / 5-14 / Corporate Form No. 364-4 Approved by State Board of Accounts 2014 CONNIE LAWSON SECRETARY OF STATE BUSINESS SERVICES DIVISION 302 W. Washington Street E018 Indianapolis IN 46204 T elephone 317 232-6576 INSTRUCTIONS 1. Use 8 1/2 x 11 white paper for attachments. 2. Present original and one copy to address in the upper right corner of this form*...
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INDIANA Washington Signator domicilliary E018 effectuate VII domicilary elephone 2014 R9 VIII LAWSON III Certifies undersigned dissolution Indianapolis verifies desiring whereof TRANSACT INCORPORATION NONPROFIT gov herein sos fictitious Applicant admittan

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