Form F0200 - Application For Registration Of Foreign Limited Liability Company

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F0200 - Page 1 of 3
OFFICE OF THE MISSISSIPPI SECRETARY OF STATE
P.O. BOX 136, JACKSON, MS 39205-0136
(601) 359-1633
Application for Registration
of Foreign Limited Liability Company
Pursuant to the provisions of House Bill No. 524, Chapter 362, Laws of 1995, the undersigned Limited Liability
Company applies for registration to transact business as follows:
1. Name of Limited Liability Company
Business Email Address _______________________________________
2. Organized under laws of the jurisdiction or state of
Date Organized
3. Address of the office required to be maintained in the state or jurisdiction of organization by the laws of that
state or jurisdiction or, if not required, the address of the principal office of the Limited Liability Company
Address
City, State, ZIP5, ZIP4
4. If the Limited Liability Company is to have a specific date of dissolution, the latest date upon which this
Limited Liability Company is to dissolve
5. Name and Street Address of the Registered Agent and Registered Office in Mississippi
Name
Address
City, State, ZIP5, ZIP4
6. Telephone No. of the Registered Agent
7. The Secretary of State is appointed the Registered Agent of this limited liability company for services of
process if the Registered Agent’s authority has been revoked or if the Registered Agent cannot be found or
served with the exercise of responsible diligence.
Rev. 5/2009

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