In the case of a limited partnership that is registered in the State of Kentucky wanting to register an agent for itself, the following form has to be completed and submitted to prove the agent’s consent.Download
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(01/12 ) C OMMONWEALTH OF K ENTUCKY A LISON LUNDERGAN G RIMES , S ECRETARY OF S TATE ____________________________________________________________________________________________ _____________________________ Division of Business Filings Business Filings PO Box 718 Fra nkfort, KY 40602 (502) 564 -3490 www.sos.ky.gov ___________________________________________________________ _______________________________ Pursuant to the provisions o f KRS 14A and KRS Chapter 271B, 273, 274, 275, 362 or 386 , the undersigned applicant cons ents to act as registered agent on behalf of the business entity named below and , for that purpose , submits the following statements: 1. The business entity is a corporation (KRS 271B , KRS 273 or KRS 274 ) a limited liability company (KRS 275) a limited partnership (KRS 362) a limited liability partnership (KRS 362) a business trust (KRS 386) 2. The name of the business entity is __________________________________________________________________. 3. The state or country of i ncorporation, organi zation or formation is _ ______________________ ___________________ . 4. The name of the initial registered agent is ____________________________________________________________. 5. The street address of the registered office address i n Kentucky is : __________________ _______________________________ ______________ _________________________ __ ___ _____________ Street Address (No Post Office Box Numbers) City State Zip Code 6. This application will be effective upon filing, unless a delayed effective date and/or time is provided. The effective date or the delayed effective date cannot be prior to the date the application is filed. The date and/or time is ______________. (Delayed effective date and/or time ) I declare under penalty of perjury under the laws of Kentucky that the forgoing is true and correct. _______ _______________________________ ________________________________ _ _________________________ Signature of Registered Agent Printed Nam e Title Statement of Consent of Registered Agent CRA (Domestic or Foreign Business Entity ) (01/12 ) FILING INSTRUCTIONS STATEMENT OF CONSENT REGISTERED AGENT DOCUMENT DELIVERY All documents will be sent to the return address on the outer envelope. If no address is found, the documents will be sent to the principal office. If the applicant wishes for correspondence from the Office of the Secretary of State to be sent to someone other than those above, a request must be submitted in writing affirming that request. All other communication and notification shall f ollow the process pr escribed in Kentucky Revised Statute. WHO MAY SIGN The document must be signed by an individual meeting one of the following requirements : • If the registered agent is an individual resident of this state, the individual must sign statement. • If registered agent is a corporation, an officer or the chairman of the board of directors must sign on behalf of the corporation. • If the registered agent is a limited liability company and management of the company vested in one or more managers, a manager must sign o n behalf of the limited liability company. If management of the company is vested in its members, a member must sign. • If the registered agent is a limited partnership, a general partner must sign on behalf the limited partnership. • If the registered agen t is a limited liability partnership the statement shall be executed a partner or other person authorized by chapter 362. • The representative signing the statement of consent on behalf of the business entity acting as agent must designate the title or the capacity in which he or she signs. PRINCIPAL OFFICE ADDRESS The principal office is the office (in or out of this state) so designated in writing with the Office of the Secretary of Sta te where the principal designated office of the business entity is lo cated. This address is where all correspondence from the Office of the Secretary of State (See Document Delivery) will be mailed. NUMBER OF COPIES If filing via mail or in person, one exact or conformed copy of the documents with the filing fee must be su bmitted to the address below. To make a copy of the filing for delivery to the local county clerk’s office, visit www.sos.ky.gov and print a copy from the organization search tool. EFFECTIVE DATE AND TIME The document will be effective on the date and ti me of filing, unless a delayed effective date and/or time is specified. A delayed effective date may not be later than the 90 th day after the date of filing. FILING FEE There is no filing fee for filing this document. Checks should be made payable to th e "Kentucky State Treasurer." MAILING ADDRESS OFFICE LOCATION Alison Lundergan Grimes Room 154, Capitol Building Office of the Secretary of State 700 Capital Avenue PO Box 718 Frankfort, KY 40601 Frankfort, KY 40602 -0718 Hours of Operation: 8: 00 AM -4:30 PM ET CONTACT INFORMATION If you have any questions, please feel free to visit our website at www.sos.ky.gov or call 502 -564 -3490.Relevant article from our knowledge database
The same is true for obtaining a passport for a newborn also. This form is known as Form DS-11. If you believe that a sexual consent form is just for the wealthy and famous, feel again. You should also sign another consent form know as an investigative consumer report if they would like to speak with friends and family, neighbors or previous co-workers.
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