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Fillable Online Herschler Building East, Suite 101 122 W 25th ... 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the name of the registered agent in the designated field. Ensure that this is accurate as it will be used for official purposes.
- Next, provide the physical address of the registered office, including city, state, and zip code. This information is crucial for compliance.
- Fill in the name of the business entity for which you are consenting to serve as a registered agent.
- Sign in the signature field provided. This must be executed by the registered agent themselves.
- Enter the date in mm/dd/yyyy format to indicate when you are completing this form.
- Complete additional fields such as your printed name, daytime phone number, title, and email address. Note that an email is required for important notifications.
- If your mailing address differs from your registered office address, provide that information in the specified section.
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