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Maryland State Department of Assessments and Taxation
Charter Division
FOREIGN CORPORATION QUALIFICATION
(Filing fee of $100.00 required)
This document must be accompanied by written proof of existence from the home state dated within the last
sixty (60) days, equivalent of a Certificate of Good Standing no more than 60 days old at the time of filing.
The undersigned Corporation for the purpose of qualifying pursuant to the provisions of Title 7 of
the Corporations and Associations Article of the Annotated Code of Maryland, to do intrastate, interstate
and foreign business as a foreign Corporation in the State of Maryland, hereby certifies to the State
Department of Assessments and Taxation:
(A) That the name of the Corporation is
(B) The corporation was formed in the State of
(C) That the address of the Corporation is
(D) That the name and address of the resident agent of the corporation in Maryland:
(Every foreign corporation qualified in Maryland is required to name a Maryland agent)
(E) (OPTIONAL) That the address of the principal office of the Corporation in Maryland is:
(F) That the Corporation (check appropriate response):
[ ] Has [ ] Has not done intrastate, interstate or foreign business in this State before qualification or
registration as a foreign Corporation or after the qualification or registration was cancelled.
NOTE: If the box in Part (F) is checked indicating that the Corporation has done intrastate, interstate
or foreign business in Maryland before registering or qualifying or after the registration or qualification
has been cancelled; a penalty of $200 must accompany this form in addition to the filing fee of
$100.00 .
BY:
(Original signature of President or Vice President)
I hereby consent to my designation in this document as resident agent for this corporation.
BY:
(Original signature of Resident Agent)
SDAT_Charter_Foreign Corporation Qualification Revised: January2023
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