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Get and Sign Illinois Registered Agent Form
Above this line ————
1. Corporation Name: ______________________________________________________________________________
2. Name and Address of Registered Agent and Registered Office as they appear on the records of the Office of the
Secretary of State:
Registered Agent: _______________________________________________________________________________
First Name
Middle Name
Last Name
Number
Street
Suite # (P.O. Box alone is unacceptable)
City
ZIP Code
County
Registered Office:...
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