Commercial Registered Agent Listing Statement
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Commercial Registered Agent Listing Statement Form. This is a Nevada form and can be use in Corporation Secretary Of State.
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Tags: Commercial Registered Agent Listing Statement, Nevada Secretary Of State, Corporation
ROSS MILLER
Secretary of State
202 North Carson Street
Carson City, Nevada 89701-4201
(775) 684 5708
Website: www.nvsos.gov
Commercial Registered Agent
Listing Statement
(PURSUANT TO NRS 77.320)
USE BLACK INK ONLY - DO NOT HIGHLIGHT
ABOVE SPACE IS FOR OFFICE USE ONLY
1. Person registering as a Commercial Registered Agent:
Name of Individual:
Name of Entity:
or
Entity Type:
Jurisdiction of Organization:
2. The above listed person is in the business of serving as a commercial registered agent in
Nevada. The business address of the person in this State to which service of process and other
notice and documents being served on or sent to entities represented by it may be delivered is:
Nevada
Street Address
City
Zip Code
Nevada
Mailing Address (if different from above)
City
Zip Code
3. Email address where electronic notices may be sent:
4. Signature:
X
Authorized Signature of Individual or On Behalf of Entity
Date
FEE: $75.00
This form must be accompanied by appropriate fees.
Nevada Secretary of State Form CRA Listing
Effective 7-1-08
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