Indiana Corporation Domestication Foreign into Domestic Form

In the case of a foreign corporation wanting to become a domestic corporation in the State of Indiana, the following form has to be completed and submitted. A $30 filing fee has to be completed and 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	
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ARTICLES OF DOMESTICATION 
Domestication of a Foreign Corporation into an Indiana Corporation State Form 51575 (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	
 	
ARTICLE I:  NAME AND JURISDICTION OF CORPORATION  	
Please set forth the Plan of Domestication, containing such information as required by Indiana Code 23-1-38.5-4(c), attach herewith, and designate it as  
“Exhibit B.” 	
ARTICLES OF DOMESTICATION 	
The undersigned, desiring to domesticate a foreign 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: 
 SECTION 1: 
a.  The following is the name of Corporation immediately before filing these Articles of Domestication: 
 
___________________________________________________________________________________________________________________ 
 
b.  If the corporate name given above is unavailable in Indiana or if Corporation wishes to change its name, the new name of the corporation will be 
the following : 
 
___________________________________________________________________________________________________________________ 	
 	(Please note that pursuant to Indiana Code 23-1-23-1(a), this name must include the word “incorporated", "company", or "limited", or 
the abbreviation "corp.", "inc.", "co.", or "ltd.", or words or abbreviations of like import in another lan	guage.) 	
 SECTION 2: 	
CORPORATE NAME	 	
JURISDICTION	 	
a.  The following is the jurisdiction in which Corporation was incorporated immediately before filing 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:  REGISTERED OFFICE AND AGENT 	
Registered Agent:  The name and street address of Corporation’s Registered Agent and Registered Office for service of process are as follows: 
 Name of Registered Agent 
 Address of Registered Office (number and street or building only, no PO box) 	 City 	 
In
diana	
 ZIP Code 	
ARTICLE III:  AUTHORIZED SHARES 	
a.  Please state the number of shares Corporation is authorized to issue: ___________________________________________________________ 
 
b.  If there is more than one class of shares or shares with rights and preferences, please list such information as “Exhibit A” and attach herewith. 	
ARTICLE IV:  PLAN OF DOMESTICATION

In Witness Whereof, the undersigned being an officer or other duly authorized representative executes these Articles of Domestication and 
verifies, subject to penalties of perjury, that the statements contained herein are true,  
 
this ______________ day of ______________________________, 20_______. 
 
 
 	
ARTICLE V:  INCORPORATORS 	
The names and addresses of the incorporators of Corporation are as follows: 	
NAME 	NUMBER AND STREET OR BUILDING 	CITY 	STATE 	ZIP CODE 	
 
 
 
 
 	
 
 
 
 
 	
 
 
 
 
 	
 
 
 
 
 	
  
  
  
  
  	
 Signature 	 Printed Name 	 Title