Commercial Registered Agent Registration Form - Wyoming Secretary Of State
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1
2Wyoming Secretary of State
Compliance Division
State Capitol Building
th
For Office Use Only
200 West 24
Street
Cheyenne, WY 82002-0020
Ph. 307.777.7370
Fax 307.777.7640
Email:
compliance@wyo.gov
Commercial Registered Agent Registration
1. Legal name of applicant.
(An applicant may be a natural person or business entity. If a natural person, the individual must be 18
years or older.):
For consistency the Secretary of State’s Office will only keep one version of the agent’s name on file.
2. The applicant’s physical address (a post office box is prohibited) in Wyoming where service of process may be
made during regular business hours for entities served by the applicant:
Address:
City, State and Zip Code:
Business Hours for Service of Process:
Phone Number:
Email Address:
2a.
New address. Please file attached form to apply new address to all of the business entities this registered agent
represents.
3. Mailing address of the applicant if different:
4. If the applicant is a business entity, the name, physical address and phone number of the natural person(s) who
has responsibility for the entity:
Name:
Address:
City, State and Zip Code:
Phone Number:
5. By signing this application, I agree:
• To comply with the provisions of the W.S. §17-28-101 – 17-28-111.
• That the applicant, or in the case of a business entity, its officers, directors, partners, or persons serving in
a similar capacity have not been convicted of a felony.
• That the name of natural person(s) or the position(s) that is authorized to accept service of process on
behalf of the Commercial Registered Agent shall be held on site at the registered office.
• That this registration expires on December 31 of each year. A registered agent who does not renew by
December 31 of each year shall not have registered agent status.
• That information contained on this application may be published on the Secretary of State’s website:
• Yes
No
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