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A Service of Charles Jones Inc.
A LexisNexis® Company



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* * Please fill out all fields on this form.
Contact Name
(Name of person to contact regarding this order.)
E-Mail Address
(Email address from which you are submitting this order.)
Phone Number
(Phone Number of person to contact regarding this order.)
Comments
State(s) where registered agent is needed:
To select two or more, hold down control key while clicking mouse.

Enter the complete name of the entity (name MUST be exactly as it appears on the records of the Secretary of State of the State of Incorporation) and address of the entity being represented. If you use a P.O. Box for the company address, please set forth a specific STREET address for handling Service of Process via Federal Express.

Entity to Register:

Company Name:
Contact Individual:
Contact E-Mail:
Address:
(If P. O. Box is used, Charles Jones MUST also have street address for Federal Express)
City: 
State: 
Zip: 
Contact Telephone: 
Fax: 
* * Optional information that will help us process your order.
State of Inc.
Date of Incorporation
mm/dd/yyyy
Fiscal Year End
yyyy
Federal ID. #

As your registered agent we will telephone you upon receipt of Service of Process of any nature and forward the legal documents served via Federal Express Economy Service in accordance with your specific instructions. Scanned process is also an option, contact us for further information.

Superior Registered Agents MUST BE PROVIDED WITH A STREET ADDRESS FOR FORWARDING SERVICE OF PROCESS VIA FEDERAL EXPRESS. A representative will contact you to confirm the information and the type of services you require. If this is a Change of Agent for an existing business entity Superior will complete the necessary forms for your signature and will pay the state filing fees for the change.

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