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PREFERRED.

COMMON.

Real estate..

location,

area, Machinery Merchandise.

Bills receivable.

Stocks and securities..

Patent rights.

Trade marks.
Copyrights
Good will...
Services*
Expenses*

* State the nature of such service or expenses.

6. Usual place of business in this Commonwealth,

7. To whom and where shall notice and copies of legal process be addressed?

...

IN WITNESS WHEREOF, we have hereunto signed our names,

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and severally made oath that the foregoing certificate, by them subscribed, is true to the best of their knowledge and belief.

Before me,

...

[If out of Massachusetts, oath before a commissioner for Massachusetts or notary public; if within Massachusetts, before a notary public or justice of the peace.]

Form 16. Certificate of Condition - Foreign Corpora

tion.16 J

Post-office address of Company in Massachusetts:

Check for excise tax should be made payable to treasurer and receiver general.

SECTION 90. The fee for filing this certificate is $5.00, and should accompany the certificate. Checks should be made payable to the secretary of the commonwealth.

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a Corporation organized under the laws of the State of.. .having a usual place of business in

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Massachusetts, in compliance with the provisions of chapter 437 of the Acts of 1903, do hereby certify, that the amount of its authorized capital stock on the....

(Not later than date of annual meeting.)

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That said Corporation has paid local taxes in this Commonwealth during the preceding year to the amount of $.......

16a

That the assets and liabilities of the Corporation on the above date were as follows:

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NOTE. This should be of a date not more than ninety days prior to the annual meeting.

16 See St. 1903, c. 437, §§ 58, 66, 75.

16a But see supra, p. 405.

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State here the change, or changes, if any, since the filing of the certificate required by section 60, or since the filing of the last annual report, in the following particulars:

a. The name of the corporation.

b. The location of its principal office.

c. The names and addresses of the president, treasurer, clerk or secretary, and directors.

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d. The date of annual meeting for election of officers.

....

e. The amount of capital stock authorized is... The amount of capital stock issued is.......

The amount paid in thereon (

to the treasurer is

dollars.

. dollars.

...dollars.

Common.

..dollars.

Preferred.

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The amount of such payment made otherwise than in money is as follows:

Paid in property, viz.: [State here the number of shares issued on each item.]

PREFERRED. COMMON.

Real estate...

location,

area, Machinery Merchandise... Bills receivable.

Stocks and securities..

Patent rights..
Trade marks.
Copyrights..
Good will
Services..

Expenses.

....

...

[State the nature of such services and expenses.]

IN WITNESS WHEREOF, we have hereunto signed our names,

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and severally made oath that the foregoing certificate, by them subscribed, is true to the best of their knowledge and belief.

*Before me.

[* If out of Massachusetts, oath before a commissioner for Massachusetts or notary public; if within Massachusetts, before a notary public or justice of the peace.]

AUDITOR'S CERTIFICATE.

(This certificate is to be used only by corporations having a paid-in capital of $100,000, or over.)

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a Corporation duly established by law, hereby certify that I have completed the examination of the books of said Corporation, and its certificate of condition as executed by its officers, to which this certificate is attached, and find that said certificate represents the true condition of the affairs of said Corporation, as disclosed by its books. This certificate is made by me in compliance with the provisions of section 47 of chapter 437 of the Acts of 1903.

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[The approval of the Commissioner of Corporations is to be endorsed hereon.]

Form 17. Appointment of Auditor - Foreign Corporation.

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a corporation with a capital of $100,000 or more, at a meeting held at..

on the.

..day of

A. D. 190.., have employed

16b If the auditor is out of the State, it seems that the jurat with a suitable caption should be made before a commissioner for Massachusetts or a notary public. The above is the official form.

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