Form 11 F0009 - Application For Appointment Of Registered Agent
Download a blank fillable Form 11 F0009 - Application For Appointment Of Registered Agent in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 11 F0009 - Application For Appointment Of Registered Agent with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
111 F0009
OFFICE OF THE MISSISSIPPI SECRETARY OF STATE
P.O. BOX 136, JACKSON, MS 39205-0136
(601) 359-1633
Application for Appointment of Registered Agent
1. Name of the Company Business email address________________________________
2. It was organized under the laws of the state or other jurisdiction of
3. Name and Street Address of the Registered Agent and Registered Office are
Name
Physical
Address
P.O. Box
City, State, ZIP5, ZIP4
4.
The undersigned certifies that: 1) he/she has notified the above-named registered agent of this
appointment; 2) he/she has provided the agent an address for the company, and; 3) the agent has agreed to
serve as registered agent for this company.
By:
Signature
(
Please keep writing within blocks)
Printed Name
Title
Mail completed form along with the $25 fee to SECRETARY OF STATE, PO BOX 136, JACKSON, MS
39205-0136. For assistance contact a customer service representative at (800) 256-3494. Visit our website at
for forms and instructions.
Rev. 20
12
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal