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Statutory Agent Update 521 - Ohio

Statutory Agent Update Form. This is a Ohio form and can be used in Corporations Secretary Of State .
 Fillable pdf Last Modified 1/10/2013
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Please return the approval certificate to: Name: (Individual or Business Name) To the attention of: (If necessary) Address: City: State: Phone Number: ZIP Code: E-mail Address: Check here if you would like to receive important notices via e-mail from the Ohio Secretary of State's office regarding Business Services. Check here if you would like to be signed up for our Filing Notification System for the business entity being created or updated by filing this form. This is a free service provided to notify you via e-mail when any document is filed on your business record. Type of Service Being Requested: (PLEASE CHECK ONE BOX BELOW) Regular Service: Only the filing fee listed on page one of the form is required and the filing will be processed in approximately 3-7 business days. The processing time may vary based on the volume of filings received by our office. Expedite Service 1: By including an Expedite fee of $100.00, in addition to the regular filing fee on page one of the form, the filing will be processed within 2 business days after it is received by our office. Expedite Service 2: By including an Expedite fee of $200.00, in addition to the regular filing fee on page one of the form, the filing will be processed within 1 business day after it is received by our office.This service is only available to walk-in customers who hand deliver the document to the Client Service Center. Expedite Service 3: By including an Expedite fee of $300.00, in addition to the regular filing fee on page one of the form, the filing will be processed within 4 hours after it is received by our office, if received by 1:00 p.m. This service is only available to walk-in customers who hand deliver the document to the Client Service Center. Preclearance Filing: For the purpose of advising as to the acceptability of the proposed filing, a form that is to be submitted at a later date for processing may be submitted for examination for a fee of $50.00. The Preclearance will be complete within 1-2 business days. American LegalNet, Inc. www.FormsWorkFlow.com Form 521 Prescribed by: JON HUSTED Mail this form to one of the following: Regular Filing (non expedite) P.O. Box 788 Columbus, OH 43216 Expedite Filing (Two-business day processing time requires an additional $100.00). P.O. Box 1390 Columbus, OH 43216 Ohio Secretary of State Central Ohio: (614) 466-3910 Toll Free: (877) SOS-FILE (767-3453) www.OhioSecretaryofState.gov Busserv@OhioSecretaryofState.gov (CHECK ONLY ONE(1) BOX) (1) Subsequent Appointment of Agent Corp (165-AGS) LP (165-AGS) LLC (171-LSA) Business Trust (171-LSA) Statutory Agent Update Filing Fee: $25 (2) Change of Address of an Agent Corp (145-AGA) LP (145-AGA) LLC (144-LAD) Business Trust (144-LAD) (3) Resignation of Agent Corp (155-AGR) LP (155-AGR) LLC (153-LAG) Partnership (153-AGR) Business Trust (153-LAG) Real Estate Investment Trust (171-LSA) Real Estate Investment Trust (144-LAD) Real Estate Investment Trust (153-LAG) Name of Entity Charter, License or Registration No. Name of Current Agent Complete the information in this section if box (1) is checked Name and Address of New Agent Name of Agent Mailing Address Ohio City State Zip Code Form 521 Page 1 of 3 Last Revised: 11/29/12 American LegalNet, Inc. www.FormsWorkFlow.com Complete the information in this section if box (1) is checked and business is an Ohio entity ACCEPTANCE OF APPOINTMENT FOR DOMESTIC ENTITY'S AGENT The Undersigned, Name of Agent , named herein as the statutory agent for Name of Business Entity , hereby acknowledges and accepts the appointment of statutory agent for said entity. Signature: Individual Agent's Signature/Signature on behalf of Corporate Agent If an agent is an individual using a P.O. Box, the agent must check this box to confirm that the agent is an Ohio resident. Complete the information in this section if box (2) is checked New Address of Agent Mailing Address Ohio City State Zip Code If an agent is an individual using a P.O. Box, the agent must check this box to confirm that the agent is an Ohio resident. Complete the information in this section if box (3) is checked The agent of record for the entity identified on page 1 resigns as statutory agent. Current or last known address of the entity's principal office where a copy of this Resignation of Agent was sent as of the date of filing or prior to the date filed. Mailing Address City State Zip Code Form 521 Page 2 of 3 Last Revised: 11/29/12 American LegalNet, Inc. www.FormsWorkFlow.com By signing and submitting this form to the Ohio Secretary of State, the undersigned hereby certifies that he or she has the requisite authority to execute this document. Required Agent update must be signed by an authorized representative (see instructions for specific information). If authorized representative is an individual, then they must sign in the "signature" box and print their name in the "Print Name" box. If authorized representative is a business entity, not an individual, then please print the business name in the "signature" box, an authorized representative of the business entity must sign in the "By" box and print their name in the "Print Name" box. Authorized Representative By (if applicable) Print Name Authorized Representative By (if applicable) Print Name Form 521 Page 3 of 3 Last Revised: 11/29/12 American LegalNet, Inc. www.FormsWorkFlow.com Instructions for Statutory Agent Update This form should be used to update statutory agent information for a corporation, limited partnership, limited liability company, partnership or business trust. If a corporation, limited partnership or limited liability company or business trust would like to appoint a new statutory agent, please select box 1. If a corporation, limited partnership, limited liability company, or business trust would like to change the address of the current agent, please select box 2. If the agent of a corporation, limited partnership, limited liability company, partnership, or business trust would like to resign from their position, please select box 3. A partnership and limited liability partnership must complete a statement of amendment to appoint a new agent or change the address of the current agent. Entity Information The corporation, limited partnership, limited liability company, partnership, or business trust must provide its name, charter/license/registration number and the name of the current agent. The current agent's name must be the same as the agent listed in our
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