Nevada > Secretary Of State > Corporation
Appointment Of Registered Agent - Nevada
| Appointment Of Registered Agent Form. This is a Nevada form and can be used in Corporation Secretary Of State . |
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ROSS MILLER Secretary of State 204 North Carson Street, Suite 1 Carson City, Nevada 89701-4520 (775) 684 5708 Website: www.nvsos.gov Appointment of Registered Agent by Nonfiling Domestic and Nonqualified Foreign Entities (PURSUANT TO NRS 77.380) USE BLACK INK ONLY - DO NOT HIGHLIGHT ABOVE SPACE IS FOR OFFICE USE ONLY 1. Name of Nonfiling or Nonqualified Entity: 2. Entity Type: 3. Jurisdiction of Organization: 4. The above named entity appoints the following agent for service of process in Nevada: (please complete a, b or c) a) Commercial Registered Agent: Name b) Noncommercial Registered Agent: Name 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. This statement remains in effect for a period of 5 years after the date of filing unless canceled earlier or terminated by qualification. 6. Entity Signature: X Authorized Signature of Nonfiling or Nonqualifying Entity Date 7. 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 Misc Appointment Effective 5-15-09 American LegalNet, Inc. www.FormsWorkFlow.com
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