Indiana Corporation Domestication Domestic into Foreign Form

In the case of a domestic corporation that is registered in the State of Indiana wanting to become a foreign corporation, the following form has to be completed and submitted. A $30 filing fee has to be submitted along with the form.

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INSTRUCTIONS:  1. Use 8 ½” x 11” white paper for attachments. Indiana Code 23-1-18-3 
FILING FEE: $30.00	
 
 	2. Present original and one (1) copy to the address in upper right corner of this form.
3. Please TYPE or PRINT.	 	4. Please visit our office on the web at www.sos.in.gov	.	
 
   
         
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 	
ARTICLES OF DOMESTICATION 
Domestication of an Indiana Corporation into a Foreign Corporation State Form 51581 (R2 / 4-12)  
Approved by State Board of Accounts, 2004  	
CONNIE LAWSON 
SECRETARY OF STATE 
CORPORATE DIVISION 
302 W. Washington Street, Rm. E018  
Indianapolis, IN  46204 
Telephone: (317) 232-6576	
 	
ARTICLES OF DOMESTICATION 	
The undersigned, desiring to domesticate an I ndiana Corporation (herein referred to as “Corporation”) within the State of Indiana pursuant to the 
provisions of  Indiana Code 23-1-38.5-4, et. seq. , executes the following Articles of Domestication: 	
ARTICLE I:  NAME AND JURISDICTION OF CORPORATION  	
 SECTION 1: 	CORPORATE NAME	 	
a.  The following is the name of Corporation immediat ely before filing these Articles of Domestication: 
 
___________________________________________________________________________________________________________________ 
 
b.  The following is the name of Corporation immediately  after the filing these Articles of Domestication:  
  ___________________________________________________________________________________________________________________ 	
 	(Please note the name given above must be in  compliance with the laws of the jurisdiction in which Corporation is domesticated. )	 	
 SECTION 2: 	JURISDICTION	 	
a.  The following is the jurisdiction in which Corporation will be incorporated immediately before fili ng these Articles of Domestication: 
 
___________________________________________________________________________________________________________________ 
 
b.  Please read and sign the following statement: 
I hereby affirm under the penalty of perjury that, to the best  of my knowledge, the domestication of Corporation in Indiana was  duly authorized as 
required by the laws of the above-stated jurisdiction. 	
 	Signature_________________________________ Printed Name________________________________  Title______________________________ 	
ARTICLE II:  ARTICLES OF CHARTER SURRENDER  	
Please attach herewith and designate as “Exhibit A” the Articl es of Charter Surrender for Corporation.  Pursuant to Indiana Code 23-1-38.5-7, the Articles 
of Charter Surrender must include the following: 
 
1.  Corporation’s name immediately before Filing these Articles of Domestication; 
2.  A statement that the Articles of Charter Surrender are bei ng filed in connection with the domestication of Corporation in a jurisdiction other than 
Indiana; 
3.  A statement that the domestication was approved by the shar eholders and, if voting by any separate voting group was required, by each separate 
voting group, in a manner required by Indiana Law  (see Indiana Code 23-1-38.5-5); and 
4. Cor	
poration’s new 	jurisdiction of incor	poration.

In Witness Whereof, the undersigned being an officer or other duly authorized representative of above-stated Corporation executes 
these Articles of Domestication and verifi es, subject to penalties of perjury, that the statements contained herein are true, 	
 
 	
this ______________ day of ______________________________, 20_______.	 
 
 
 
 
 	
ARTICLE III: PLAN OF DOMESTICATION 	
Please set forth the Plan of Domestication, attach herewith, and de signate it as  “Exhibit B.”  The Plan of Domestication must include the information 
required by  Indiana Code 23-1-38.5-4(c) .   
 
Please note that the plan must be adopted by Corporation’s Board of  Directors and approved by Corporation’s shareholders in the same manner set forth 
in  Indiana Code 23-1-28.5-5. 
 Signature 	 Printed Name 	 Title