Mississippi > Secretary Of State > Corporations > Corporation > Profit
Registered Agent Or Office Statement Of Change F0010 - Mississippi
| Registered Agent Or Office Statement Of Change Form. This is a Mississippi form and can be used in Profit Corporation Corporations Secretary Of State . |
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F0010 - Page 1 of 2 OFFICE OF THE MISSISSIPPI SECRETARY OF STATE P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1333 Registered Agent/Office Statement of Change *0010-1-2* Profit Corporation 1. Corporate ID 2. Corporate Name 3. Federal Tax ID 4. Name and Street Address of the Registered Agent and Registered Office (as on file with the Secretary of State) Name Physical Address P.O. Box City, State, ZIP5, ZIP4 - 5. New Registered Agents Name and Registered Office Physical Address P.O. Box City, State, ZIP5, ZIP4 -Rev. 01/96 <<<<<<<<<********>>>>>>>>>>>>> 2 F0010 - Page 2 of 2 OFFICE OF THE MISSISSIPPI SECRETARY OF STATE P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1333 Registered Agent/Office Statement of Change *0010-2-2* Profit Corporation 6. If agent has changed, mark appropriate box 6A: The undersigned hereby accepts designation as registered agent for service of process Signature of Registered Agent (Please keep writing within block) OR 6B: Statement of written consent is attached, signed by the new registered agent 7. The Corporation has been notified of the change of registered office. Yes No By: Signature (Please keep writing within block) Printed Name TitleFiling Fee: $10.00 Rev. 01/96
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