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Application For Certificate Of Registration For Foreign Limited Liability Company, Form Ra-1 - Registered Agent Written Consent Page 2

District of Columbia Government

Corporations Division

PO Box 92300

Washington DC 20090

RA-1. Registered Agent Written Consent

Use this form to appoint a Registered Agent for an entity. Choose Option A or B, but not both. There is no filing fee for this form.

Under DC Official Code (DCOC) Titles 29 and 41, a Registered Agent (RA) must be

A bona fide resident of the District of Columbia (District), or

A for-profit corporation, authorized by articles of incorporation or certificate of authority to act as agent.

Limited Liability Corporations (LLCs) and Limited Liability Partnerships (LLPs) may not act as RAs. Entities may not act as their own RAs.

A. By a District Of Columbia resident: I, a bona fide District resident, consent to act as a RA for the entity below.

Name of Resident

Address of Resident

Entity Name

Signature

B. By a legally authorized corporation: The authorized corporate Registered Agent in the District, by the signatures of its President/Vice-

President and Secretary/Assistant Secretary, agrees to act as RA for the entity below.

Name of Corporation

Address

Entity Name

President or Vice-President

Signature

Secretary or Assistant Secretary

Signature

If you sign this form, you agree that you understand that anyone who makes a false statement anywhere on it can be

punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC § 22-2405.

Mail all forms and required payment to:

For overnight delivery send to:

Corporate Bank of America

Department of Consumer and Regulatory Affairs

Attention: DC Government

Corporations Division

Wholesale Lockbox #92300

PO Box 92300

Mail Code MD4-301-18-04

Washington, DC 20090

225 North Calvert Street – 18

floor

Phone: (202) 442-4432

Baltimore, Maryland 21202

Please check dcra.dc.gov to view organizations required to register, to search business names, to get step-by-step guidelines to register an

organization, to search registered organizations, and to download forms and documents. Just click on “Corporate Registrations.”

Application For Certificate Of Registration For Foreign Limited Liability Company, Form Ra-1 - Registered Agent Written Consent Page 2