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Application For Appointment Of Registered Agent F0009 - Mississippi
| Application For Appointment Of Registered Agent Form. This is a Mississippi form and can be used in General Corporation Corporations Secretary Of State . |
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F0009 - Page 1 of 1 OFFICE OF THE MISSISSIPPI SECRETARY OF STATE P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1333 Application for Appointment of Registered Agent *0009-1-1* 1. Name of the Corporation 2. It is incorporated under the laws of 3. Registered Agent is designated and appointed registered agent of this corporation in the State of Mississippi upon whom service of process against this corporation may be had in the event of any suit against this corporation in said State; and that all prior designations and appointments of registered agents, if any, be and the same hereby revoked. Witness my signature, and the SEAL of said Company, this the day of AD, (year) (Please keep writing within blocks) By: Signature Printed Name Title The undersigned herebyaccep ts the above description anppointmd aent of registered agent for service of process Dated in Mississippi, the day of AD, (year) Signature (Please keep writing within blocks) of Registered Agent Physical Address P.O. Box City, State, ZIP5, ZIP4 - Rev. 01/96
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