Wyoming > Secretary Of State > Corporations > General Business
Consent To Appointment By Registered Agent - Wyoming
| Consent To Appointment By Registered Agent Form. This is a Wyoming form and can be used in General Business Corporations Secretary Of State . |
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Wyoming Secretary of State State Capitol Building, Room 110 th 200 West 24 Street Cheyenne, WY 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: Business@wyo.gov Consent to Appointment by Registered Agent I, (name of registered agent) , registered office located at voluntarily consent to serve * (registered office physical address, city, state & zip) as the registered agent for (name of business entity) I hereby certify that I am in compliance with the requirements of W.S. 17-28-101 through W.S. 17-28-111. Signature:__________________________________________ (Shall be executed by the registered agent.) Date: (mm/dd/yyyy) Print Name: Title: Registered Agent Mailing Address (if different than above): *If this is a new address, complete the following: Previous Registered Office(s): Daytime Phone: Email: I hereby certify that: · After the changes are made, the street address of my registered office and business office will be identical. · This change affects every entity served by me and I have notified each entity of the registered office change. · I certify that the above information is correct and I am in compliance with the requirements of W.S. 17-28-101 through W.S. 17-28-111. Signature: __________________________________________ (Shall be executed by the registered agent.) Date: (mm/dd/yyyy) Checklist Submit one originally signed consent to appointment and one exact photocopy. RAConsent Revised 12/11 American LegalNet, Inc. www.FormsWorkFlow.com
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