Mississippi > Secretary Of State > Corporations > Limited Liability Company
Application For Appointment Of Registered Agent F0120 - Mississippi
| Application For Appointment Of Registered Agent Form. This is a Mississippi form and can be used in Limited Liability Company Corporations Secretary Of State . |
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11 F0120 - Page 1 of 1 OFFICE OF THE MISSISSIPPI SECRETARY OF STATE P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1633 Application for Appointment of Registered Agent 1. Name of the Limited Liability Company Business email address________________________________ 2. It was organized under the laws of the state or other jurisdiction of 3. Name and Street Address of the Registered Agent and Registered Office are Name Physical Address P.O. Box City, State, ZIP5, ZIP4 is designated and appointed registered agent of this Limited Liability Company in the State of Mississippi upon whom service of process against this Limited Liability Company may be had in the event of any suit against this Limited Liability Company 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 (year) By: Signature (Please keep writing within blocks) Printed Name Title The undersigned hereby accepts the above description and appointment of registered agent for service of process Dated in Mississippi, the day of (year) (Please keep writing within blocks) Signature of Registered Agent Rev. 06/09 American LegalNet, Inc. www.FormsWorkFlow.com
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