Form 171-Lsa - Subsequent Appointment Of Agent - State Of Ohio printable pdf download

Form 171-Lsa - Subsequent Appointment Of Agent - State Of Ohio

J. Kenneth Blackwell

Prescribed by

Please obtain fee amount and mailing instructions from the Forms

Inventory List (using the 3 digit form # located at the bottom of this

form). To obtain the Forms Inventory List or for assistance, please

call Customer Service:

Central Ohio: (614)-466-3910 Toll Free: 1-877-SOS-FILE (1-877-767-3453)

SUBSEQUENT APPOINTMENT OF AGENT

(for a limited liability company)

hereby states

(name of limited liability company)

that the appointment of

as agent of said

limited liability company is hereby revoked, and hereby appoints

(name)

(street and number)

, Ohio

(city, village or township)

(zip code)

to succeed

as agent upon whom any

(name of former agent)

process, notice or demand required or permitted by statute to be served upon the limited liability company may be served.

(Title: Member/Manager/Representative)

ACCEPTANCE OF APPOINTMENT

The undersigned, named herein as the agent for

(name of limited liability company)

hereby acknowledges and accepts the appointment of agent for said limited liability company.

(Signature of Agent)

171-LSA

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Version:7/15/99

Form 171-Lsa - Subsequent Appointment Of Agent - State Of Ohio