Certificate of Title Application

              INSTRUCTIONS FOR FILING THE APPLICATION FOR CERTIFICATE OF TITLE (Firm Registration)
TO AVOID IMPROPER FILING, PLEASE READ CAREFULLY.
There are six sections on the three page application form.
• Page one: All parts of sections 1 and 2 MUST be completed. For the
FEI#, you may use the Interior Designer of Record’s Social Security # if the Federal Tax ID # is pending and inform the Board in writing when it is established.
• Section 1: The LEGAL name of the entity should be the same as the name on the original certificate of title. If it is different, please explain. The Secretary of State has declared that numbers 0-10 numeric or written are non-descriptive and may not be used in the entity title. The address and telephone numbersshould be the address and telephone number of the office.
• Section 2: The name(s) of the interior designer of record for the entity and his or her Oklahoma interior designer registration number(s) should be listed here. Check the legal position in the entity of the interior designer of record
• Page two: All parts of this page MUST be completed. The interior designer of record's signature(s) is required and if there are any other partners, directors, officers, shareholders, managers, members or principals in the firm, at least one of them must sign the Attest portion of this page. The signature and seal of a notary is also required. If you have more than one "Interior Designer of Record", an additional copy of page two must be completed, signed and notarized for each "Interior Designer of Record".
• Page three: Sections 3 through 4 must be completed if they apply to your firm. Write N/A in the sections that do not apply.
• Section 5: List the main office (office on original certificate of title) and all branch offices of the firm. An office that is not involved in interior design practice in Oklahoma should be listed with the statement "Does not practice in Oklahoma."
• Nothing is required for section six.
Send the completed Certificate of Title application and a check for the application fee in the amount of $325.00 Check payable to “Oklahoma Board of Architects”. **Fees are not prorated.
*IMPORTANT: If your firm is a corporation, limited partnership, LLC OR LLP, please read the special instructions on page 2 of the instructions.
Your application will be acted on by the Board at the next regular meeting and the Board will mail a certificate for the Certificate of Title to your business address when it is approved.
The law requires the "Interior Designer of Record" to notify the Board in writing, within thirty (30) days, of all changes to the original application. The certificate of title (firm registration) will begin on date approved by the Board and expire on June 30, 2013. Renewals will be sent to the "Interior Designer(s) of Record" at the business address.
SPECIAL INSTRUCTIONS FOR CORPORATIONS,
LIMITED PARTNERSHIPS, LLC AND LLP
* Contact the Oklahoma Secretary of State, State Capitol, Oklahoma City, Oklahoma 73105 or call 405-521-3911 for all forms to domesticate or qualify your entity for Oklahoma.
* Complete all forms received from the Secretary of State.
Upon approval by the Board, corporation, limited partnerships, LLC and LLP shall file all original domestication or certificate of qualification, fees and the Board letter of approval with the Oklahoma Secretary of State.
Consult the State Architectural and Registered Interior Designer Act, Section 46.9 (H) for interiordesigners and the Oklahoma Administrative Code 55:10 Subchapter thirteen (13) Organizational Practice for further information or contact the Board office.
BOARD OF GOVERNORS OF THE LICENSED ARCHITECTS
LANDSCAPE ARCHITECTS AND REGISTERED INTERIOR DESIGNERS OF OKLAHOMA
P O Box 53430
Oklahoma City, Oklahoma 73152
405-949-2383 Fax 405-949-1690
APPLICATION FOR CERTIFICATE OF TITLE
Refer to the Oklahoma Administrative Code 55:10 Subchapter 13
(All information must be typewritten)
CT NUMBER_____________
(Leave Blank)
GENERAL INFORMATION
Legal Name of Entity:________________________________________________
(Exactly as you want it filed with the Secretary of State)
Business Address:_________________________________________________
City________________________________State___________Zip___________
Business Phone Number:______________________(Include Area Code)
Business Fax Number:________________________(Include Area Code)
No. of offices:_______ Federal Tax I D #_____________________
Type Of Entity: (Carefully consider how your company is legally set up before selecting from the following.)
_____ LLC, LLP, PLLC, PLLP: Manager or Member
_____ Partnership: Partner
_____ Limited Partnership: General Partner
_____ Corporation, Sole Proprietorship: Director, Officer, Shareholder, Principal
_____ Association: Corporation, LLC, LLP, Individuals
_____ Joint Venture: Two of the above
Check the Legal position in the entity of the interior designer of record
2. NAME____________________________________ OK Registration No.__________
General Partner _____ Director _____ Sole Proprietor ___________
Partner ______ Officer ______ Shareholder _______ Manager ______
Member __________ Principal __________
NAME____________________________________ OK Registration No.__________
General Partner _____ Director _____ Partner_____ Officer_______
Shareholder _______ Manager ______ Member _____ Principal __________
NAME____________________________________ OK Registration No.__________
General Partner _____ Director _____ Partner ______ Officer ______
Shareholder _______ Manager ______ Member __________ Principal ______
(add additional page if more space is needed)
PLEASE COPY THIS PAGE FOR EACH INTERIOR DESIGNER OF RECORD
AFFIDAVIT:
I, being duly sworn, state that I am a registered interior designer in the State of Oklahoma, in good standing with the Board of Governors of the Licensed Architects, Landscape Architects and Registered Interior Designers of Oklahoma and that I consent to be responsible for all of the activities and decisions in the State of Oklahoma for the above named entity as same relates to the practice of interior design in this state on a _______full or _______part time basis. The normal office hours of the firm are ______am to _____pm and open ____________ through____________ (days of the week).
I understand that all work is under my direct supervision and responsible control. Further, I hereby certify I have received, read and understand the State Architectural and Registered Interior Designers Act and the Board's current Rules and Regulations as it applies to the requirements and responsibilities of and for this entity concerning the Certificate of Title.
I hereby certify _____________________________________________, acting on behalf of the
entity by filing this application is doing so with full legal authority to act in the entity's behalf as the Interior Designer of Record.
IN WITNESS WHEREOF, the entity has caused its name to be hereunto
Affixed by _____________________________________________________and
(signature of interior designer of record)
Attested this_________day of___________________, 20_____.
ATTEST:
________________________________ _____________________________
(Attesting Signature) (Type name of attesting signature)
________________________________ _____________________________
(Attesting Signature) (Type name of attesting signature)
Subscribed and sworn to before me this______day of___________, 200_
_______________________________
(Signature of Notary Public)
My commission expires____________________________________________.
3. NAMES IN FIRM TITLE
List below ALL names in firm title, their license or registration number, type of license or registration,
state of license or registration, indicate status (active, inactive, retired or deceased) and the year if inactive,
retired or deceased. State N/A if not applicable.
_____________________________________________________________________________ _______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
4. PARTNERS/DIRECTORS/OFFICERS/MEMBERS/MANAGERS/PRINCIPLES OR OTHER EMPLOYEES:
List below the name, title and address of ALL personnel which act in its behalf IN OKLAHOMA as
architects, landscape architects or interior designers in the capacity as partners, directors, officers,
members, managers, principals or employees of the entity. Indicate ALL titles of persons, the type of
Oklahoma license or registration held and the license or registration number.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
5. LIST ALL OFFICES OF THE FIRM BELOW:
List office addresses. If none state N/A.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
6. DISCLAIMER
The Board of Governors of the Licensed Architects, Landscape Architects and Registered Interior Designers
of Oklahoma, by approving and issuing a Certificate of Title to an entity, disclaims that an entity is lawfully or legally formed under the statutes of the State of Oklahoma.