STATE OF SOUTH CAROLINA SECRETARY OF STATE NOTICE OF APPOINTMENT OF REGISTERED AGENT AND REGISTERED OFFICE RESIDENTIAL LANDLORD AND TENANT ACT Filing Fee - $10.00 TYPE OR PRINT CLEARLY IN BLACK INK Pursuant to S.C. Code of Laws §27-40-130, the undersigned landlord submits the following information: 1. 2. The name(s) of the landlord(s) is/are ______________________________________________ The address of the landlord is ___________________________________________________ Street and Number ___________________________________________________________________________ City State Zip Code 3. The name of the registered agent is _______________________________________________ 4. The street address of the registered office is ________________________________________ Street and Number in the city of ________________________________, South Carolina ___________________ Zip Code 5. I hereby consent to the appointment as registered agent for the above landlord. ____________________________________________ Signature of Registered Agent ________________________________________________ Signature(s) of Landlord(s) ________________________________________________ Type or Print Name(s) Filing Checklist Notice of Appointment of Registered Agent and Registered Office (filed in duplicate) $10.00 made payable to the South Carolina Secretary of State Self-Addressed, Stamped Return Envelope Return all documents to: South Carolina Secretary of State's Office Attn: Corporate Filings 3HQGOHWRQ 6WUHHW 6XLWH Columbia, SC 2921 American LegalNet, Inc. www.FormsWorkFlow.com