Registration Of A Foreign Limited Liability Company Page 3
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5The limited liability company hereby appoints the following as its agent upon whom process against the limited liability
company may be served in the state of Ohio. The name and complete address of the agent is
Name
Mailing Address
City
State
ZIP Code
If the agent is an individual and using a P.O. Box, check this box to confirm that the agent is an Ohio
resident.
The limited liability company irrevocably consents to service of process on the agent listed above as long as
the authority of the agent continues, and to service of process upon the Ohio Secretary of State if:
a.
an agent is not appointed, or
b.
an agent is appointed but the authority of that agent has been revoked, or
c.
the agent cannot be found or served after the exercise of reasonable diligence.
By signing and submitting this form to the Ohio Secretary of State, the undersigned hereby certifies that he or she
has the requisite authority to execute this document.
Required
Signature
Must be signed by an
authorized representative.
If authorized representative
By (if applicable)
is an individual, then they
must sign in the "signature"
box and print their name
Print Name
in the "Print Name" box.
If authorized representative
is a business entity, not an
individual, then please print
Signature
the business name in the
"signature" box, an
authorized representative
By (if applicable)
of the business entity
must sign in the "By" box
and print their name in the
"Print Name" box.
Print Name
Signature
By (if applicable)
Print Name
Form 533B
Page 2 of 2
Last Revised: 11/29/12
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