Designation Of Registered Office Address And Or Registered Agent {BE-05} | Pdf Fpdf Doc Docx | North Carolina

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Designation Of Registered Office Address And Or Registered Agent {BE-05} | Pdf Fpdf Doc Docx | North Carolina

Designation Of Registered Office Address And Or Registered Agent {BE-05}

This is a North Carolina form that can be used for Business Entity within Secretary Of State.

Alternate TextLast updated: 8/2/2006

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Description

STATE OF NORTH CAROLINA Department of the Secretary of State DESIGNATION OF REGISTERED OFFICE ADDRESS AND/OR REGISTERED AGENT Pursuant to 55D-30 and 55D-31 of the General Statutes of North Carolina, the undersigned entity submits the following for the purpose of designating a registered office and/or registered agent in the State of North Carolina. 1. The name of the entity is: _____________________________________________________________ Entity Type: Corporation, Foreign Corporation, Nonprofit Corporation, Foreign Nonprofit Corporation, Limited Liability Company, Foreign Limited Liability Company, Limited Partnership, Foreign Limited Partnership, Limited Liability Partnership, Foreign Limited Liability Partnership 2. (Check if applicable). [ ] The entity currently has no registered office on file with the Secretary of State. 3. (Check if applicable). [ ] The mailing address of the registered office is not on file with the Secretary of State. 4. The street address and county of the entitys designated registered office is: Number and Street: _______________________________________________________________________ City, State, Zip Code: ________________________________________ County: _________________ 5. The mailing address if different from the street address of the designated registered office is: __________________________________________________________________________________________ 6. (Check if applicable) [ ] Th.e entity currently has no registered agent on file with the Secretary of State. 7. The name of the designated registered agent and the designated registered agents written consent to the appointment appears below : ________________________________________________ ________________________________________ (Type or Print Name of New Agent) (Signature & Title*) 8. The address of the entitys registered office and the address of the business office of its registered agent, as dhereiesignna, ted will be identical. 9. This statement will be effective upon filing, unless a date and/or time is specified: _____________________ 10. This is the _____day of _______________, 20____. __________________________________________ (Name of Entity) __________________________________________ Signat (ure) __________________________________________ (Type or Print Name and Title) NOTES: 1. Filing fee is $5.00. One executed statement must be filed with the Secretary of State. 2. This form is for use by entities that have not filed the name of a registered agent or address of a registered office wthe Corporations ith Division. * Instead of signing here, the new registered agent may sign a separate written consent to the appointment, which must beac atthed to this statement. CORPORATIONS DIVISION P.O. BOX 29622 RALEIGH, NC 27626-0622 (Revised January 2002) (Form BE-05)

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