Free PDF - Arkansas


File Size: 81.6 kB
Pages: 1
Date: August 21, 2007
File Format: PDF
State: Arkansas
Category: Corporations
Author: Information Technology
Word Count: 166 Words, 2,028 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.sosweb.state.ar.us/corp_ucc/corp_forms/forms/CRA-R.pdf

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COMMERCIAL REGISTERED AGENT REGISTRATION
(PLEASE TYPE OR PRINT CLEARLY IN INK)

1.

Name of individual or entity: ______________________________________________________________________________ Fictitious name: ________________________________________________________________________________________

2. 3.

Jurisdiction: ___________________________________

If entity, type of entity: __________________________________
Street Address

Street address of registered agent for service of process (In Arkansas):________________________________________ _______________________________________________________________________________________________________
Street Address Line 2 City, State Zip

4.

Mailing Address: ________________________________________________________________________________________
Mailing Address Line 1

_______________________________________________________________________________________________________
Mailing Address Line 2 City, State Zip

5.

Information regarding alternate means of accepting service of process:_________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________

The above referenced individual or entity intends to be in the business of serving as a Commercial Registered Agent in Arkansas in accordance with Act 15 of 2007.

I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days. Executed this _______________ day of ___________________, ___________________.

___________________________________________________
Signature of Authorized Individual

_______ __________________________________________
Printed Name and Title of Authorized Individual

$50.00 Filing FEE made payable to the Arkansas Secretary of State

CRA-R Rev. 08/07