Arkansas > Secretary Of State > Miscellaneous
Appointment Of Agent To Receive Service Of Process For Non-Profit Association - Arkansas
| Appointment Of Agent To Receive Service Of Process For Non-Profit Association Form. This is a Arkansas form and can be used in Miscellaneous Secretary Of State . |
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Arkansas Secretary of State Mark Martin Business & Commercial Services, 250 Victory Building, 1401 W. Capitol, Little Rock State Capitol · Little Rock, Arkansas 72201-1094 501-682-3409 · www.sos.arkansas.gov Appointment of Agent to Receive Service of Process for Nonprofit Association (Please Type or Print) Name of Nonprofit Association: Federal tax Identification Number (if any): Address: Name and street address of person authorized as agent to receive service of process: I, , do hereby appoint the above-stated person as agent to receive service of process. I am authorized to manage the affairs of the nonprofit association. I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days. Authorizing Officer (Type or Print) Authorized Signature Date I, receive service of process. , do hereby accept this appointment as agent to I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days. Signature Date Filing Fee: $25.00 payable to Arkansas Secretary of State Rev. 4/06 American LegalNet, Inc. www.FormsWorkFlow.com
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