Mississippi Foreign LLP Appointment of Registered Agent Form

In the case of a foreign limited liability company that is registered in the State of Mississippi wanting to appoint an agent, the following form has to be completed and submitted along with a $25 filing fee.

Extracted Text for Proper Search

11  F0009  	                       	                             	 
 	
 	                      	      	     	  OFFICE OF THE MISSISSIPPI SECRETARY OF STATE	 	
                                   P.O. BOX 136, JACKSON, MS 39205- 0136     (601) 359-1633 
 	
 	                          	    	            	Applicat	ion for Appointment of Registered Agent	 	
 	 	 
Mail completed form along with the $25 fee to SECRETARY OF STATE, PO BOX 136, JACKSON, MS 
39205-0136.  For assistance contact a customer service representative at (800) 256- 3494.  Visit our website at 
www.sos.m s.gov	
  for forms and instructions.  
Rev. 20	
12 	
 	1. Name of the Company	   Business email address_____________	___________________	 	
 
 	 	 	
 	 	
 	2. It was organized under the laws of the state or other jurisdiction of	 	
 	 	
 	 	
 	 	
 	3. Name and Street Address of the Registered Agent and Registered Office are	 	
 	 	
 	Name      	
 	 	
 	Physical 
Address  	 	 	
 	 	
 	P.O. Box    	
 	 	
 	City, State, ZIP5, ZIP4   	 	 	 	 	 	 	
 
 	 4. 	 	 The undersigned certifies 	that:  1) he/she has notified the above	-named registered agent of this 	
appointment; 2) he/she has provided the agent  an address for the company, and; 3) the agent has agreed to 
serve as registered  agent for this company. 	
 	 	
 	 	
 
 	By:	 	Signature	 	 	(Please keep writing within blocks)	 	
 	 	 	
 	 	 	 	 	 	 	
 	 	
 	 	Printed Name	 	 	Title