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             Foreign Limited Liability Company Application Checklist 

                                 The attached application must be filled out in its entirety. All fields 
with anasterisk   *are required

                                 You must attach a Certificate of Good Standing issued by your 
domestic state dated within 30 days of being received and accepted by our 
office. statesSome       torefer it as a Certificate Existenceof    Certificateor    of 
Fact. 

                                 The filing fee is $100. Please make the check or money order payable 
to New Mexico Secretary of State or NMSOS.  

             Mail entire application along with the required information listed above to: 

                                                        New Mexico Secretary of State 

                                                                    Business Services Division 
                                                                    325 Don Gaspar, Suite 300 
                                                                                        Santa Fe, NM 87501 



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                 Type or Print Legibly 
                 $100 Filing Fee 

                                                                                                                                    Foreign Limited Liability Company 

                                                                                                                                              Application for Registration 
                        The undersigned limited liability company  order toin  apply for a Certificate of Registration to conduct affairs               ,
                                                           in New theUnder Mexico        Limited Liability Company Act  submits the following statement:     ,

                 1: The name of the limited liability company as registered in the domestic state is: 

                 If the company proposes to transact business under a different name  (s) or if the company name does not contain
                 the words ‘limited liability company,’ ‘limited company’, or the abbreviation, state the company name as above 
                 and include the word ending it elects to use in New Mexico: 

      *Domestic State:                                                                                                                                      *Date of Organization: 

                 Email Address:                                                                                                                             Phone Number:  

                 2: The purpose for which the company is organized: (Please list a specific purpose for which the company is 
                 organized.) 

                 3:(1)  The name*theof          registered agent is:

                 Individual First and Last Name                                                                                                          OR   Registered Corporation Name and Business ID # 

                 (2)    *The New Mexico street address of the initial registered agent is: (must be a physical address)

                 City                                                                                                                         State                                   Zip code 

                 (3) The New Mexico mailing address of the initial registered agent is:                                                                       same as physical address

                 City                                                                                                                         State                                   Zip code 

      /202 Rev 0        5                       1                                                                                                                                              Page 1 



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    (4) The principal *address:office (must be a physical address)

City                                                               State                                            Zip code 
        (5) The mailing address of the corporation is:                     same as physical address

        City                                                       State                                            Zip code 

        4: *The names and complete addresses of the person(s) in whom management of the limited liability company is vested 
        Name                                                       Address                          City         State       Zip code 

        The company is a foreign limited liability company as defined in Section 2 of the New Mexico Limited Liability 
        Company Act. The Secretary of State is appointed the agent of the foreign limited liability company for service of 
        process if, upon resignation of the appointed registered agent no agent has been appointed, or, if appointed, the 
        agent’s authority has been revoked or the agent cannot be found or served in the exercise of reasonable diligence. 

        *Executed Date: 

                                                                  *Signature of  Authorized Person *Printed Name 

                                                                                                                             Page 2 



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                                                                        Statement of Acceptance of Appointment by 

                                                                        Designated Initial Registered Agent 

If the Registered Agent listed on item four is an individual, complete box one.

If the Registered Agent listed on item four  is a corporation or LLC, complete box two. 

Please Note: the LLC filing this application cannot be listed as their own registered agent.

           -  IndividualOne Box as Registered Agent *

           I,  
                                                                        (Registered Agent’s Printed Name) 
           the undersigned individual, hereby  accept the appointment as initial registered agent of 

                                                                                                                     , 
                                                                        (Company’s Name) 
           the Limited Liability Company which is named in the Application for Registration. 

                                                                        (Registered Agent’s Signature) 

           TwoBox     Corporation-            LLCor as Registered*Agent 

           I,  
                                                                        (Authorized Person’s Printed Name and Title) 

           the undersigned individual on behalf of                                                                     , 
                                                                         (Registered Agent Corporate Name) 
           hereby  accept the appointment as initial registered agent of 

                                                                                                                     , 
                                                                        (Company’s Name) 
           the Limited Liability Company which is named in the Application for Registration. 

                                                                        (Authorized Person’s Signature) 

                                                                                                                     Page 3 



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                                                                                                             Document Delivery Instruction Form 

                                                                                                             Please fill out in its entirety  

Contact Name: 

Contact Phone Number: 

Attention: 

Mailing Address: 

                                                  City                                                         State                                          Zip code 

Email Address: 

                                                  documentsAll    will be  mailed to the                     e       email address listed. If an email 
                                                                  address is not provided the documents will be mailed to the address 
                                                                                                               listed. 

                                                                                                             check if you choose to pick up your documents 
    Documents listed pick up mustfor be withinup picked      five business days or documents will be  mailed.                                                          e

Rev 05/2021






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