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STATE OF SOUTH CAROLINA SECRETARY OF STATE NOTICE OF APPOINTMENT OF REGISTERED AGENT AND REGISTERED OFFICE RESIDENTIAL LANDLORD AND TENANT ACT Filing Fee - $10.00
TYPE OR PRINT CLEARLY IN BLACK INK

Pursuant to S.C. Code of Laws §27-40-130, the undersigned landlord submits the following information: 1. 2. The name(s) of the landlord(s) is/are ______________________________________________ The address of the landlord is ___________________________________________________
Street and Number

___________________________________________________________________________
City State Zip Code

3. 4.

The name of the registered agent is _______________________________________________ The street address of the registered office is ________________________________________
Street and Number

in the city of ________________________________, South Carolina ___________________
Zip Code

5.

I hereby consent to the appointment as registered agent for the above landlord. ____________________________________________
Signature of Registered Agent

________________________________________________ Signature(s) of Landlord(s) ________________________________________________ Type or Print Name(s)



Filing Checklist Notice of Appointment of Registered Agent and Registered Office (filed in duplicate) $10.00 made payable to the South Carolina Secretary of State Self-Addressed, Stamped Return Envelope Return all documents to: South Carolina Secretary of State's Office Attn: Corporate Filings P.O. Box 11350 Columbia, SC 29211