Form B-A-28 - Appointment Of Secretary Of State For Service Of Process (Page 2 of 2) in pdf

Form B-A-28 - Appointment Of Secretary Of State For Service Of Process Page 2

Page 2

B-A-28 Web, 3-07

INSTRUCTIONS

I. INDIVIDUAL

1. Beside the word “INDIVIDUAL PRINCIPAL,” the individual must sign his/her name.

2. Beneath the signature, print the individual’s name.

3. If the principal is an individual using a trade name, the individual must print the trade name in

parentheses beside the individual’s printed name.

II. PARTNERSHIP

1. If the principal is a partnership, the partnership name must be placed on the line immediately

beside the word “PARTNERSHIP PRINCIPAL.”

2. Immediately thereunder and opposite the word “BY,” one of the general partners must sign

his/her name and give his/her title.

3. Beneath the signature, print the signing partner’s name.

III. CORPORATION

1. The corporate name must be placed on the line immediately beside the word “CORPORATION/

LLC PRINCIPAL.”

2. Immediately thereunder and opposite the word “BY,” one of the corporate officers must sign

his/her name and give his/her title.

3. Beneath the signature, print the signing officer’s name.

4. Beside the word “ATTEST,” the Secretary or Assistant Secretary must sign his/her name and

indicate his/her title. Beneath the signature, print the signing officer’s name. In the absence

of a Secretary, a letter is required from another officer not appearing on the bond verifying

that the appropriate person has signed the bond to bind the company.

5. The corporate seal must be affixed beside the Secretary or Assistant Secretary’s signature

and must be legible.

IV. LIMITED LIABILITY COMPANY (LLC)

1. The name of the LLC must be placed on the line immediately beside the word “CORPORATION/

LLC PRINCIPAL.”

2. Beside the word “BY,” the name of a manager of the LLC must be signed. The word “Manager”

must be written above the word “TITLE.”

3. Beneath the signature, print the signing manager’s name.

4. If the LLC has a seal, it must be affixed and must be legible.

Form B-A-28 - Appointment Of Secretary Of State For Service Of Process Page 2