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Statement Of Change Of Registered Agent By Represented Entity - Nevada

Statement Of Change Of Registered Agent By Represented Entity Form. This is a Nevada form and can be used in Corporation Secretary Of State .
 Fillable pdf Last Modified 9/14/2010
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ROSS MILLER Secretary of State 202 North Carson Street Carson City, Nevada 89701-4201 (775) 684 5708 Website: www.nvsos.gov Statement of Change of Registered Agent by Represented Entity (PURSUANT TO NRS 77.340) USE BLACK INK ONLY - DO NOT HIGHLIGHT ABOVE SPACE IS FOR OFFICE USE ONLY 1. Name of Entity as currently on file: 2. Entity File Number: 3. Type of information being changed by this statement: (check only one) Change of Commercial Registered Agent Change of Name and Address of Noncommercial Registered Agent Change of Name, Title of Office or Other Position with Entity to whom service is to be sent and Address of the Business Office of that Person. 4. Information in effect upon the filing of this statement: a) Commercial Registered Agent: Name (change requires a signed registered agent acceptance) b) Noncommercial Registered Agent: Name (change requires a signed registered agent acceptance) Nevada Street Address City Zip Code Nevada Mailing Address (if different from street address) City Zip Code c) Title of Office or Other Position with Entity: Name of Title or Position Nevada Street Address City Zip Code Nevada Mailing Address (if different from street address) City Zip Code 5. Signature of Represented Entity: X Authorized Signature Date 6. I hereby accept appointment as Registered Agent for the above named Entity. X Authorized Signature of Registered Agent or On Behalf of Registered Agent Entity Date FEE: $60.00 This form must be accompanied by appropriate fees. Nevada Secretary of State Form RA Change by Entity Effective 7-1-08 American LegalNet, Inc. www.FormsWorkflow.com
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