Nevada > Secretary Of State > Corporation
Registered Agent Acceptance - Nevada
| Registered Agent Acceptance Form. This is a Nevada form and can be used in Corporation Secretary Of State . |
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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 Registered Agent Acceptance (PURSUANT TO NRS 77.310) USE BLACK INK ONLY - DO NOT HIGHLIGHT ABOVE SPACE IS FOR OFFICE USE ONLY Certificate of Acceptance of Appointment by Registered Agent: In the matter of Name of Business Entity I, am a: a) b) (complete only one) Name of Registered Agent commercial registered agent listed with the Nevada Secretary of State, noncommercial registered agent with the following address for service of process: Nevada Street Address City Zip Code Nevada Mailing Address (if different from street address) City Zip Code and hereby state that on Date I accepted the appointment as registered agent for the above named business entity. Signature: X Authorized Signature of R.A. or On Behalf of R.A. Company Date Nevada Secretary of State Form RA Acceptance Revised: 7-1-08 American LegalNet, Inc. www.FormsWorkflow.com
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