Form CXM-1-1.0 "Appointment of Statutory Agent for Service Unincorporated Association" - Connecticut

What Is Form CXM-1-1.0?

This is a legal form that was released by the Connecticut Secretary of the State - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2011;
  • The latest edition provided by the Connecticut Secretary of the State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CXM-1-1.0 by clicking the link below or browse more documents and templates provided by the Connecticut Secretary of the State.

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Download Form CXM-1-1.0 "Appointment of Statutory Agent for Service Unincorporated Association" - Connecticut

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SECRETARY OF THE STATE OF CONNECTICUT
MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470
DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106
860-509-6003
www.concord-sots.ct.gov
PHONE:
WEBSITE:
APPOINTMENT OF
STATUTORY AGENT FOR SERVICE
UNINCORPORATED ASSOCIATION
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY.
FILING FEE: $90
FILING PARTY
:
(CONFIRMATION WILL BE SENT TO THIS ADDRESS)
MAKE CHECKS PAYABLE TO "SECRETARY
OF THE STATE"
NAME:
ADDRESS:
CITY:
STATE:
ZIP:
1. NAME OF UNINCORPORATED ASSOCIATION:
2. ADDRESS OF PRINCIPAL OFFICE IN CONNECTICUT:
ADDRESS:
CITY:
STATE:
ZIP:
THE ABOVE ASSOCIATION APPOINTS AS ITS STATUTORY AGENT FOR SERVICE ONE OF THE FOLLOWING:
(A). NAME OF NATURAL PERSON WHO IS RESIDENT OF CONNECTICUT:
BUSINESS ADDRESS:
RESIDENCE ADDRESS:
ADDRESS:
ADDRESS:
CITY:
CITY:
STATE:
ZIP:
STATE:
ZIP:
(B). NAME OF CONNECTICUT CORPORATION
ADDRESS OF PRINCIPAL OFFICE IN CONNECTICUT
ADDRESS:
CITY:
STATE:
ZIP:
FORM CXM-1-1.0
PAGE 1 OF 2
Rev. 5/2011
SECRETARY OF THE STATE OF CONNECTICUT
MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470
DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106
860-509-6003
www.concord-sots.ct.gov
PHONE:
WEBSITE:
APPOINTMENT OF
STATUTORY AGENT FOR SERVICE
UNINCORPORATED ASSOCIATION
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY.
FILING FEE: $90
FILING PARTY
:
(CONFIRMATION WILL BE SENT TO THIS ADDRESS)
MAKE CHECKS PAYABLE TO "SECRETARY
OF THE STATE"
NAME:
ADDRESS:
CITY:
STATE:
ZIP:
1. NAME OF UNINCORPORATED ASSOCIATION:
2. ADDRESS OF PRINCIPAL OFFICE IN CONNECTICUT:
ADDRESS:
CITY:
STATE:
ZIP:
THE ABOVE ASSOCIATION APPOINTS AS ITS STATUTORY AGENT FOR SERVICE ONE OF THE FOLLOWING:
(A). NAME OF NATURAL PERSON WHO IS RESIDENT OF CONNECTICUT:
BUSINESS ADDRESS:
RESIDENCE ADDRESS:
ADDRESS:
ADDRESS:
CITY:
CITY:
STATE:
ZIP:
STATE:
ZIP:
(B). NAME OF CONNECTICUT CORPORATION
ADDRESS OF PRINCIPAL OFFICE IN CONNECTICUT
ADDRESS:
CITY:
STATE:
ZIP:
FORM CXM-1-1.0
PAGE 1 OF 2
Rev. 5/2011
(C). NAME OF CORPORATION NOT ORGANIZED UNDER CONNECTICUT LAWS* WHICH HAS A CERTIFICATE
OF AUTHORITY TO TRANSACT BUSINESS OR CONDUCT AFFAIRS IN THIS STATE.:
ADDRESS OF PRINCIPAL OFFICE IN CONNECTICUT
ADDRESS:
CITY:
STATE:
ZIP:
3. ACCEPTANCE:
NAME OF STATUTORY AGENT FOR SERVICE
SIGNATURE STATUTORY AGENT FOR SERVICE
4. AUTHORIZATION:
NAME OF PRESIDENT, VICE-PRESIDENT OR
SIGNED (PRESIDENT, OR VICE-PRESIDENT, OR
SECRETARY
SECRETARY)
FORM CXM-1-1.0
DO NOT SCAN THIS PAGE
INSTRUCTIONS
Rev. 5/2011
Page of 2