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Out-of-State Financial Institution Application for Registration (Texas)

This form is to amend the application for registration in Texas. The form amends the registration of an out-of-state financial institution. The form provided here is simply a sample of what the actual Form 411 looks like.

OUT-OF-STATE FINANCIAL INSTITUTION AMENDED APPLICATION FOR REGISTRATION

Pursuant to the provisions of section 201.102 of the Finance Code, the out-of-state financial institution named below hereby amends its application for registration on file with the secretary of state and provides the following information:

1. The name of the financial institution is ________________________________

2. The institution's federal tax identification number is ___________________________

and the file number issued by the secretary of state is ___________________________

3. The name has been changed to _____________________

____ The name of the institution has not changed.

4. The institution desires to pursue in Texas purposes other than, or in addition to, those authorized by its application for registration, as follows: __________________________

It is authorized to pursue such purpose or purposes in the state or country under the laws of which it is organized.

5. It desires to change the statement(s) contained in item(s) umber___________________________

of the original or amended application for registration to read as follows: ____________________________

6. The undersigned person certifies that the statements and information provided in this application are true and correct as of the date of execution indicated below. The undersigned also is on notice that a person commits an offense (classified as a Class A misdemeanor) under the provisions of the Texas Business Corporation Act and the Texas Non-Profit Corporation Act if the person signs a document the person knows is false in any material respect with the intent that the document be delivered to the secretary of state for filing.

Date ____________________________

____________________________ Name of Entity

By ____________________________

Its ____________________________ Authorized Officer


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INSTRUCTIONS FOR FILLING OUT THIS FORM
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1. An application for registration must be amended when an out-of-state financial institution registered pursuant to Section 201.102 changes its name. The application for registration also may be amended when the institution desires to change any statement in its application for registration, as originally filed or amended.

2. The application must be signed by an authorized officer of the financial institution. Prior to signing, please read the statements on this form carefully. A person commits an offense under the Texas Business Corporation Act and the Texas Non-Profit Corporation Act if the person signs a document the person knows is false in any material respect with the intent that the document be delivered to the secretary of state for filing. The offense is a Class A misdemeanor.

3. The filing fee for an amended application for registration is $150.00 for a financial institution, other than a credit union (Tex. Bus. Corp. Act Ann. art. 10.01). The filing fee for a financial institution classified as a credit union is $25.00 (Tex. Non-Profit Corp. Act Ann. art. 9.03). Personal checks and MasterCard®, Visa®, and Discover® are accepted in payment of the filing fee. A check or money order must be payable through a U.S. bank or other financial institution and made payable to the secretary of state. Fees paid by credit card are subject to a statutorily authorized processing cost of 2.1% of the total fees.

4. Two copies of the amended application for registration along with the filing fee should be mailed to the address shown in the heading of this form. The delivery address is: Secretary of State, Statutory Filings Division, Corporations Section, James Earl Rudder Office Building, 1019 Brazos, Austin, Texas 78701. We will place one document on record and return a letter acknowledging the filing and, if a duplicate copy was provided for such purpose, a file stamped copy of the document. The telephone number is (512) 463-5576.

5. Under article 10.03 of the Texas Business Corporation Act and article 10.07 of the Texas Non-Profit Corporation Act, a corporation may choose to make the filing of certain documents effective as of a date not more than 90 days after the date of filing or upon the occurrence of a future event not more than 90 days after the date of filing. This can be accomplished by stating a future effective date or describing a future event within the document submitted for filing. Please refer to the appropriate act for the specific requirements necessary for filing documents with a future effective date.

6. This form is designed to meet minimum statutory filing requirements; no warranty is made regarding the suitability of this form for any particular purpose. This form and the information provided are not substitutes for the advice of an attorney. Form No. 411 Revised 9/99

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