Registered Agent Designation Form - Alliance for Contractors

Instructions: Complete this form to designate or change your registered agent for service of process. All fields marked with an asterisk (*) are required. Please print clearly or type all information. This form must be signed by an authorized representative of the business entity.

LEGAL NOTICE: A registered agent is required by law for all business entities. The registered agent must have a physical address (not a P.O. Box) in the state of incorporation and must be available during normal business hours to accept service of legal documents on behalf of the entity.

BUSINESS ENTITY INFORMATION

Legal Entity Name *

Entity Type *

State of Formation *

Federal EIN *

Date of Formation

CURRENT REGISTERED AGENT (If Applicable)

Current Registered Agent Name

Current Registered Agent Address

NEW REGISTERED AGENT DESIGNATION

Individual Person Business Entity

New Registered Agent Name *

Registered Agent Physical Address *

Phone Number *

Email Address

Effective Date of Designation *

Alliance Legal Partner Services

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Professional registered agent services in all 50 states
Document receipt and forwarding
Compliance monitoring and reminders
Online document management portal

Contact your Alliance representative for more information about integrated legal services.

AUTHORIZED SIGNATURE

CERTIFICATION: I hereby certify that I am an authorized representative of the above-named entity and have the authority to execute this registered agent designation. I certify that the information provided is true and accurate to the best of my knowledge.

Print Name of Authorized Signatory *

Title/Position *

Signature *

Authorized Signature

Date *

IMPORTANT LEGAL INFORMATION:

This form must be filed with the appropriate state agency within the required timeframe
Filing fees may apply depending on your state of incorporation
The registered agent must consent to serve in this capacity
Failure to maintain a registered agent may result in administrative dissolution
This form does not constitute legal advice - consult with qualified legal counsel as needed