The Arizona Agent form is a legal document that designates a statutory agent for a corporation or LLC in Arizona. This form must be completed accurately, as it establishes the individual or entity responsible for receiving legal documents on behalf of the business. Proper submission ensures compliance with state laws and protects the interests of the entity.
When establishing a corporation or limited liability company (LLC) in Arizona, one crucial step is the appointment of a statutory agent. The Arizona Agent form serves as the official document that facilitates this appointment, ensuring that the designated individual or entity is recognized as the statutory agent for the corporation or LLC. This form requires specific information, including the exact name of the entity as it appears in official documents, such as the Articles of Organization or Articles of Incorporation. Additionally, it mandates the precise name of the statutory agent, which could be an individual or another entity, and emphasizes the importance of accuracy in this naming process. The form also includes a signature line where the appointed statutory agent accepts their role and acknowledges that this appointment remains in effect until either the agent resigns or is replaced by the appointing entity. A declaration under penalty of perjury reinforces the seriousness of the information provided. Notably, there are no filing fees for regular processing of this form, although all submissions become public records, accessible for inspection. Understanding these aspects of the Arizona Agent form is essential for compliance with state law and for the smooth operation of your business.
DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY.
STATUTORY AGENT ACCEPTANCE
Please read Instructions M002i
1.ENTITY NAME – give the exact name in Arizona of the corporation or LLC that has appointed the Statutory Agent (this must match exactly the name as listed on the document appointing the statutory agent, e.g., Articles of Organization or Article of Incorporation):
____________________________________________________________________________
2.STATUTORY AGENT NAME – give the exact name of the Statutory Agent appointed by the entity listed in number 1 above (this will be either an individual or an entity). NOTE - the name must match exactly the statutory agent name as listed in the document that appoints the statutory agent (e.g. Articles of Incorporation or Articles of Organization), including any middle initial or suffix:
_____________________________________________________________________
3.STATUTORY AGENT SIGNATURE:
By the signature appearing below, the individual or entity named in number 2 above accepts the appointment as statutory agent for the entity named in number 1 above, and acknowledges that the appointment is effective until the appointing entity replaces the statutory agent or the statutory agent resigns, whichever occurs first.
The person signing below declares and certifies under penalty of perjury that the information contained within this document together with any attachments is true and correct, and is submitted in compliance with Arizona law.
SignaturePrinted NameDate
REQUIRED – check only one:
Individual as statutory agent: I am
Entity as statutory agent: I am signing on
signing on behalf of myself as the individual
behalf of the entity named as statutory agent,
(natural person) named as statutory agent.
and I am authorized to act for that entity.
Filing Fee: none (regular processing) Expedited processing – not applicable.
All fees are nonrefundable - see Instructions.
Mail: Arizona Corporation Commission - Corporate Filings Section
1300 W. Washington St., Phoenix, Arizona 85007
Fax: 602-542-4100
Please be advised that A.C.C. forms reflect only the minimum provisions required by statute. You should seek private legal counsel for those matters that may pertain to the individual needs of your business.
All documents filed with the Arizona Corporation Commission are public record and are open for public inspection. If you have questions after reading the Instructions, please call 602-542-3026 or (within Arizona only) 800-345-5819.
M002.003
Arizona Corporation Commission – Corporations Division
Rev: 9/2014
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