F0320 - Page 1 of 2 1
OFFICE OF THE MISSISSIPPI SECRETARY OF STATE
P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1333
1 *0320-1-2*
1. Name of the Limited Partnership
Application for Appointment of Registered Agent
2. It was formed under the laws of the state or other jurisdiction of
3. Name and Street Address of the Registered Agent and Registered Office is Name Physical Address P.O. Box City, State, ZIP5, ZIP4
-
is designated and appointed registered agent of this Limited Partnership in the State of Mississippi upon whom service of process against this Limited Partnership may be had in the event of any suit against this Limited Partnership in said State; and that all prior designations and appointments of registered agents, if any, be and the same hereby revoked. Witness my signature, and the SEAL of said Company, this the day of 20 (year)
By:
Signature
(Please keep writing within blocks)
Printed Name
Title
The undersigned hereby accepts the above designation and appointment of registered agent for service of process
Dated in
Mississippi, the
day of
AD,
(year)
Signature of Registered Agent
(Please keep writing within blocks)
Rev. 01/96