Limited Liability Company Instructions 

                               Wyoming Secretary of State  
Herschler Building East, Suite 101   122 W 25th Street   Cheyenne,       WY 82002-0020   

                         307.777.7311   Business@wyo.gov 
Before Filing Please Note  __________________________________________________________________  
 The application must be accompanied by an            original certificate of existence/good standing,
  dated not more than sixty (60) days prior to filing in Wyoming, authenticated by the Secretary
  of State or official having custody of corporate records in the state or country of formation.

 The name must include the words “Limited Liability Company,” or its abbreviations “LLC,” “L.L.C.,”
  “Limited Company,” “LC,” “L.C.,” “Ltd. Liability Company,” “Ltd. Liability Co.,” or “Limited
  Liability Co.”

 If your out-of-state business name is not available for use in Wyoming, a Use of Fictitious Name form
  is required with the Application for Certificate of Authority.

 Under the circumstances specified in W.S. 17-28-104(e), an email address is required.

 Filing fee of $150.00. Make check or money order payable to Wyoming Secretary of State.

 Annual reports are due every year on the first day of the anniversary month of formation. If not paid
  within 60 days of the due date the entity will be subject to dissolution.

 Please review the form prior to submission. The Secretary of State’s Office is unable to process
  incomplete forms.

                              You’re Ready to Mail in Your Documents!

 Processing time is up to 15 business days following the date of receipt in our office.
 Wyoming statutes do not allow for expedited filing at this time. Your filing will be processed in the
  order it is received.
 You can visit our website at http://wyobiz.wyo.gov to see what day is currently being processed.

Additional Contact Information   ____________________________________________________________  

 Department of Revenue (Sales and Use Tax Information)
  o       Ph. 307.777.5200 OR https://revenue.state.wy.us/
 Department of Workforce Services (Workers’ Compensation or Unemployment Insurance)
  o       Ph. 307.777.8650 OR http://www.wyomingworkforce.org/
 Internal Revenue Service (Tax ID Information)
  o       https://www.irs.gov/Filing

LLC-CertificateAuthorityInstructions – Revised May 2022

                            Wyoming Secretary of State 
                            Herschler Building East, Suite 101
                                        122 W 25th Street                             For Office Use Only 
                                    Cheyenne, WY 82002-0020 
                                        Ph.  307.777.7311 
                                    Email: Business@wyo.gov   

                                    Foreign Limited Liability Company 
                            Application for Certificate of Authority 

Pursuant to W.S. 17-16-1533, the undersigned company hereby  applies for a Certificate of Authority to transact 
business in the state of Wyoming. 

1. Name of the limited liability company as organized:

2. Organized under the laws of:
                                       (State or country) 

3. Date of organization:                        (This date must match the date listed on the certificate of existence.) 
                            (Date – mm/dd/yyyy) 

4. Period of duration:
(This is referring to the length of time the limited liability company intends to exist and not the length of time it has been in existence. The 
most common term used is “perpetual.”) 

5. Mailing address of the limited liability company:

6. Principal office address:

7. Name and physical address of its registered agent:
(The registered agent may be an individual resident in Wyoming or a domestic or foreign business entity authorized to transact business in 
Wyoming. The registered agent must have a physical address in Wyoming. If the registered office includes a suite number, it must be 
included in the registered office address. A Drop Box is not acceptable. A PO Box is acceptable if listed in addition to a physical address.) 

Name: 

Address:  

                         (If mail is received at a Post Office Box, please list above in addition to the physical address.) 

FLLC-CertificateAuthority - Revised June 2021

8. The limited liability company accepts the constitution of the state of Wyoming in compliance with the requirement
of Article 10, Section 5 of the Wyoming Constitution.

9. State the date this limited liability  company began doing business in Wyoming or the date  it will begin to do
business in Wyoming:  (Please note that a limited liability company doing business in Wyoming without authority shall be subject to 
back taxes and penalties pursuant to W.S. 17-16-1502(d).) 

                                                          (Date – mm/dd/yyyy) 

10. Certification. (Please check the box to complete the required certification.)

       I consent on behalf of the business entity to accept electronic service of process at the required email address 
provided on the form under the circumstances specified in W.S. 17-28-104(e). 

Signature: ___________________________________________                           Date: 
(May be executed by a member, manager, or other authorized individual as set 
                                                                                          (mm/dd/yyyy) 
forth in the operating agreement.) 

                                                          Contact Person: 
Print Name: 

                                                          Daytime Phone Number: 
Title: 
                                                          Email:
                                                          (An email address is required. Email(s) provided will receive important 
                                                          reminders, notices and filing evidence.)

       REQUIRED ATTACHMENT TO INCLUDE WITH THE FILING 
       The application must be accompanied by an           original certificate of existence/good standing, dated not more than
       sixty (60) days prior to filing in Wyoming, authenticated by the Secretary of State or official having custody of
       corporate records in the state or country of formation. 

FLLC-CertificateAuthority - Revised June 2021

                                                                                               Wyoming Secretary of State 
                                                                                  Herschler Building East, Suite 101 
                                                                                                         122 W 25th Street 
                                                                                               Cheyenne, WY 82002-0020 
                                                                                                                  Ph. 307.777.7311 
                                                                                               Email: Business@wyo.gov

                            Consent to Appointment by Registered Agent 

I,                                                                                    , registered office located at 
                            (name of registered agent) 

                                                                                    voluntarily consent to serve 

       *(registered office physical address, city, state, & zip)

as the registered agent for 
                                     (name of business entity) 

I hereby certify that I am in compliance with the requirements of W.S. 17-28-101 through W.S. 17-28-111. 

Signature:__________________________________________                   Date: 
                   (Shall be executed by the registered agent.)                                 (mm/dd/yyyy) 

Print Name:                                          Daytime Phone: 

Title:                                               Email: 
                                                                (An email address is required. Email(s) provided will receive 
                                                                important reminders, notices and filing evidence.)

Registered Agent Mailing Address 
 (if different than above):

IMPORTANT:   If you are an existing registered agent and your existing address on record does not match what 
is provided on this form, a Registered Agent Information Update form is also required.  

RAConsent – Revised December 2021