Designation Of Resident Agent (Can Be Used For Minor)
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Designation Of Resident Agent (Can Be Used For Minor) Form. This is a Missouri form and can be use in 7th Circuit (Clay County) Local Circuit Courts.
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Tags: Designation Of Resident Agent (Can Be Used For Minor), 375-A, Missouri Local Circuit Courts, 7th Circuit (Clay County)
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
CIRCUIT COURT OF CLAY COUNTY, MISSOURI
Calendar No.
PROBATE :DIVISION
Plaintiff(s)
-against-
Matter of
:
No.
JUDICIAL SUBPOENA
:
, incapacitated/disabled/minor.
:
:
DESIGNATION OF RESIDENT AGENT
Defendant(s)
:
. . . . . . . . . . . . . I, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
residing at
, State of
,
desiring to serve as Guardian-Conservator of the above named incapacitated/disabled person/minor
THE PEOPLE OFto Section 475.055 RSMo., hereby appoint
pursuant THE STATE OF NEW YORK
, as my
TO
agent for service of process upon me and for the receipt of all notices to me within the State of Missouri
concerning said estate.
THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE MADE UNDER OATH AND
GREETINGS:
ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND
THEY ARE MADEYOU, that all business PENALTIESbeingMAKING A FALSEeach of you attend before
WE COMMAND SUBJECT TO THE and excuses OF laid aside, you and AFFIDAVIT OR
DECLARATION.
,
the Honorable
at the
Court
located at
County of
in room Date:___________________
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Signature
Your failure to complyACCEPTANCE OF APPOINTMENT AS RESIDENT AGENT
with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
I,
, residing at
Witness, Honorable
, one of the Justices of the
, Missouri, telephone , 20
number
, having been appointed
Court in
County,
day of
pursuant to Section 475.055 RSMo., to act as agent for service of process on and receipt of notice to
within the State of Missouri, concerning the above estate, hereby
(Attorney must sign above and type name below)
acknowledge such appointment and consent to act as such agent.
THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE MADE UNDER OATH AND
Attorney(s) for
ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND
THEY ARE MADE SUBJECT TO THE PENALTIES OF MAKING A FALSE AFFIDAVIT OR
DECLARATION.
Date:
Form 375-A
Revised 3/14/2003
Office and P.O. Address
Resident Agent
Telephone No.:
Facsimile No.:
E-Mail Address:
Page 1 of 1 Mobile Tel. No.:
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