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Mail all forms and required payments to: Department of Consumer and Regulatory Affairs Corporations Division PO Box 92300 Washington, DC 20090 Phone: (202) 442 - 44 32 Corporate Online Services Information: Many corporate filings are available by using CorpOnline Service. Go to CorpOnline site at https://corp online .dcra.dc.gov , create the profile, access the online services main page and proceed. Online filers must pay by using the credit card. District of Columbia Government Corporations Division Appointment / Cancellation of R egistered A gent by N onqualified F oreign E ntity or N onfiling D omestic E ntity Form RA - 7 Ver. 3 , April 2018 . This form is for nonqualified foreign entity or nonfiling domestic entity (ex., unincorporated nonprofit association) to appoint or cancel said appointment of the registered agent in the District of Columbia. A statement appointing a registered agent shall be effective on filing and shall be effective for 5 years after the date of filing unless canceled or terminated earlier. Appointment of a registered agent shall not qualify a nonqualified foreign entity to do business i n the District. The filing of the statement shall not make the name of the entity filing the statement unavailable for use by another entity. A statement appointing a registered agent for a nonqualified foreign entity terminates on the date the entity becomes a qualified foreign entity. ENTITY TYPE FILING F E E Nonqualified Foreign Entity or Nonfiling Domestic Entity Refer to Corporate Fee Schedule posted online. Under the provisions of the Title 29 of D.C. Code (Business Organizations Act), the following nonqualified foreign entity or nonfiling domestic entity is appointing the registered agent in the District of Columbia and for that purpose submits the statement below. 1.Name of the Nonqualified Foreign Entity or Nonfiling Domestic Entity . 3 .Type of Action. I nitial Appointment; Appointment Cancellation; provid e file# if known 4 .Name of the Registered Agent in DC. 5 .Address of the Registered Agent in DC. If you sign this form you agree that anyone who makes a false statement can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC 247 22 - 2405; 6 .Name of the Governor or Authorized Person. 6A . Signature of the Governor or Authorized Person. American LegalNet, Inc. www.FormsWorkFlow.com