Form DSCB:15-8832 "Certificate of Authority/Amendment/Cancellation" - Pennsylvania

What Is Form DSCB:15-8832?

This is a legal form that was released by the Pennsylvania Department of State - a government authority operating within Pennsylvania. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2017;
  • The latest edition provided by the Pennsylvania Department of State;
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  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DSCB:15-8832 by clicking the link below or browse more documents and templates provided by the Pennsylvania Department of State.

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Download Form DSCB:15-8832 "Certificate of Authority/Amendment/Cancellation" - Pennsylvania

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PENNSYLVANIA DEPARTMENT OF STATE
BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS
Return document by mail to:
Name
Address
City
State
Zip Code
Return document by email to:
_________________________________
Read all instructions prior to completing.
Fee: $70
In compliance with the requirements of the applicable provisions of 15 Pa.C.S. § 8832 (relating to certificate of
authority), the undersigned limited liability company, desiring to effect a certificate of authority (or amendment or
cancellation thereto) hereby states that:
I. Required fields for Certificate, Amendment or Cancellation
1. The name of the limited liability company is:
_________________________________________________________
2. The current registered office address as on file with the Department of State. Complete part (a) OR (b) – not both:
(a) _______________________________________________________________________________________________
Number and street
City
State
Zip
County
(b) c/o: ____________________________________________________________________________________________
Name of Commercial Registered Office Provider
County
II. Certificate of Company Authority Only
1. All persons holding the following position (e.g., Managing Member, Manager) _________________________
with respect to the company has the authority to do the following: Check all that apply. For additional positions,
attach additional pages as needed.
Sign an instrument transferring real property held in the name of the company. Other specification or
limitation may be provided. Additional pages may be attached as needed.
__________________________________________________________________________________________
__________________________________________________________________________________________
Enter into other transactions on behalf of, or otherwise act for or bind, the company. Other specification
or limitation may be provided. Additional pages may be attached as needed.
__________________________________________________________________________________________
__________________________________________________________________________________________
PENNSYLVANIA DEPARTMENT OF STATE
BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS
Return document by mail to:
Name
Address
City
State
Zip Code
Return document by email to:
_________________________________
Read all instructions prior to completing.
Fee: $70
In compliance with the requirements of the applicable provisions of 15 Pa.C.S. § 8832 (relating to certificate of
authority), the undersigned limited liability company, desiring to effect a certificate of authority (or amendment or
cancellation thereto) hereby states that:
I. Required fields for Certificate, Amendment or Cancellation
1. The name of the limited liability company is:
_________________________________________________________
2. The current registered office address as on file with the Department of State. Complete part (a) OR (b) – not both:
(a) _______________________________________________________________________________________________
Number and street
City
State
Zip
County
(b) c/o: ____________________________________________________________________________________________
Name of Commercial Registered Office Provider
County
II. Certificate of Company Authority Only
1. All persons holding the following position (e.g., Managing Member, Manager) _________________________
with respect to the company has the authority to do the following: Check all that apply. For additional positions,
attach additional pages as needed.
Sign an instrument transferring real property held in the name of the company. Other specification or
limitation may be provided. Additional pages may be attached as needed.
__________________________________________________________________________________________
__________________________________________________________________________________________
Enter into other transactions on behalf of, or otherwise act for or bind, the company. Other specification
or limitation may be provided. Additional pages may be attached as needed.
__________________________________________________________________________________________
__________________________________________________________________________________________
DSCB:15-8832 – 2
2. The following named person (i.e., John Smith) __________________________________ has the authority to do
the following: Check all that apply. For additional persons, attach additional pages as needed.
Sign an instrument transferring real property held in the name of the company. Other specification or
limitation may be provided. Additional pages may be attached as needed.
__________________________________________________________________________________________
__________________________________________________________________________________________
Enter into other transactions on behalf of, or otherwise act for or bind, the company. Other specification
or limitation may be provided. Additional pages may be attached as needed.
__________________________________________________________________________________________
__________________________________________________________________________________________
III. Amendment to Certificate of Company Authority
If amending a Certificate of Authority previously filed in the Department of State, check the box below and complete
the following:
The Certificate of Company Authority that became effective on _______________________ is amended.
Date (MM/DD/YYYY)
The contents of the amendment are stated below. Additional pages may be attached as needed.
_________________________________________________________________________________________________
_________________________________________________________________________________________________
IV. Cancellation of Certificate of Company Authority
If cancelling a Certificate of Authority previously filed in the Department of State, check the box below and
complete the following.
The Certificate of Company Authority that became effective _________________________ is cancelled.
Date (MM/DD/YYYY)
IN TESTIMONY WHEREOF, the undersigned has caused this Certificate of Company Authority to be signed by a person
duly authorized by the company thereof this _______ day of ______________________, 20_______.
______________________________________________________________
Name of Limited Liability Company
______________________________________________________________
Signature
______________________________________________________________
Title
DSCB:15-8433 – Instructions
Pennsylvania Department of State
Bureau of Corporations and Charitable Organizations
P.O. Box 8722
Harrisburg, PA 17105-8722
(717) 787-1057
Website: www.dos.pa.gov/corps
I. 1. Give the exact name of the limited liability company.
General Information
The name on this line must match exactly the company name
Typewritten is preferred. If handwritten, the form must be
as on file with the Department at the time the Certificate of
legible and completed in black or blue-black ink in order to
Company Authority is submitted for filing. This field is
permit reproduction. The nonrefundable filing fee for this
required.
form is $70.
I. 2. Current address. The address provided must be the
Checks should be made payable to the Department of State.
company’s registered office address on file with the
Checks must contain a commercially pre-printed name and
Department of State at the time the Certificate of Company
address.
Authority is submitted for filing. This field is required.
This form and all accompanying documents, including any
necessary governmental approvals, shall be mailed to the
Post office boxes are not acceptable for any address. Under
address stated above.
15 Pa.C.S. § 135(c) (relating to addresses) an actual street or
rural route box number must be used as an address, and the
Department of State is required to refuse to receive or file any
Who should file this form?
document that sets forth only a post office box address.
This form may be used by a limited liability company to set
forth, amend or cancel company authority. With the exception
Section II. This field is required in addition to Section I only
of manager-managed limited liability companies identified as
if the company is stating company authority.
such in their certificates of organization, other law – especially
the common law of agency – determines the apparent
II. 1. This field is required if the company is delegating
authority to bind a limited liability company. This apparent
authority to a position, rather than a specific person. List the
authority may be altered by the filing or recording of a
title of the position that will possess the delegated authority.
Certificate of Company Authority under 15 Pa.C.S. § 8832,
Check one or both boxes indicating which authority will be
which establishes the mechanics for and the legal effect of
delegated to the listed position. Other specifications or
filing or recording a Certificate of Company Authority.
limitations may be provided, per the company’s preference.
Additional pages may be attached as needed. If the company
Applicable Law
would like to delegate authority to multiple positions, attach
For relations of members and managers to persons dealing
additional pages as needed.
with limited liability company, in general, see 15 Pa.C.S. §§
8831-8835. Statutes are available on the Pennsylvania
II. 2. This field is required if the company is delegating
General Assembly website, www.legis.state.pa.us, by
authority to a specific individual, rather than a position.
following the link for Statutes.
Provide the name of the individual that will possess the
delegated authority. Check one or both boxes indicating
Form Instructions
which authority will be delegated to the listed individual.
Enter the name and mailing address to which any
Other specifications or limitations may be provided, per the
correspondence regarding this filing should be sent. This field
company’s preference. Additional pages may be attached as
must be completed for the Bureau to return the filing. If the
needed. If the company would like to delegate authority to
filing is to be returned by email, an email address must be
multiple individuals, attach additional pages as needed.
provided. An email will be sent to address provided,
containing a link and instructions on how a copy of the filed
Section III. This field is required in addition to Section I
document or correspondence may be downloaded. Any email
only if the company is amending a Certificate of Company
or mailing addresses provided on this form will become part
Authority which is already on file with the Department of
of the filed document and therefore public record.
State.
Section I. is required whether setting forth, amending or
Check the box. List the date that the Certificate of Company
cancelling company authority. To state company authority,
Authority that is being amended became effective. List
complete Section I and Section II. To amend company
verbatim, the content of the amendment. Additional pages
authority, complete Section I and Section III. To cancel
may be attached as needed.
company authority, complete Section I and Section IV. Do
not complete any combination of Section II, III, or IV.
Section IV. This field is required in addition to Section I
only if the company is canceling a Certificate of Company
Section I. This field is always required.
Authority which is already on file with the Department of
State.
Check the box. List the date that the Certificate of Company
Authority that is being canceled became effective.
Signature and Verification
An authorized representative of the limited liability
company must sign the Certificate of Company Authority
(or amendment or cancellation thereto).
Signing a
document delivered to the Department for filing is an
affirmation under the penalties provided in 18 Pa.C.S. §
4904 (relating to unsworn falsification to authorities) that
the facts stated in the document are true in all material
respects.
This field is required.
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