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Wyoming Limited Partnership Registered Agent Consent Form

To be accepted at the Secretary of State’s office, the following form must be submitted along with the Certificate.Download

Extracted Text for Proper Search

Wyoming Secretary of State 	
 State Capitol Building, Room 110 
   200 West 24	th Street  
  Cheyenne, W Y 82002-0020 
  Ph. 307.777.7311 
  Fax 307.777.5339 
  Email: Business@	
RAConsent  – Revised  12/11 	
Consent to Appointment  by Registered Agent  
I,                                                                                                              \
                    , registered office located at   
    (name of registered agent)  
              voluntarily consent to serve   
*  (registered office  physical address, city, state & zip)  	
as the  registered agent for                                                                            \
                                                              (nam e of business entity)  
I hereby certify that I am in compliance with the requirements of W.S. 17- 28-101 through W.S. 17- 28-111.   
Signature:__________________________________________   Date: 
                                       ( Shall be executed by  the registered agent .)                      (mm/dd/yyyy)  
Print Name:       Daytime Phone : 
Title:        Email: 
Registered Agent  Mailing Address 
 (if different than above) :	
*If this is a new address,  complete the following: 
Previous Registered Office (s):  
I  hereby  certify that:  
•   After the changes are made, the street address of  my registered office and business office will be identical.  
•   This change affects every entity served by  me and  I have notified each entity of the registered office change.  
•   I certify t hat the above information is correct and I am in compliance with the requirements of W.S. 17 -28- 101 through   
W.S. 17 -28- 111.   
Signature:  __________________________________________   Date: 
                                       ( Shall be executed by  the registered agent .)                    (mm/dd/yyyy)   
          Submit o ne originally signed  consent to appointment  and one exact photocopy.
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