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USVI Public Records

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RESIDENT AGENT FORM – FILLABLE (2026)

Collection
Executive Agency Records
Sub-shelf
ltg.gov.vi
Kind
Government Report
Date
2026-08-12
Pages
1
Text
Native Text

FORM - RACA12 THE UNITED STATES VIRGIN ISLANDS OFFICE OF THE LIEUTENANT GOVERNOR DIVISION OF CORPORATIONS AND TRADEMARKS RESIDENT AGENT FORM FOR SERVICE OF PROCESS This writing witnesseth that I, the undersigned _________________________________________________, having been designated by _______________________________________________________________, as resident agent of said company, upon whom service of process may be made in all suits arising against said company in the Courts of the United States Virgin Islands, do hereby consent to act as such agent and that service of process may be made upon me in accordance with Titles 11 (Chapter 21), 13, and 26 of the Virgin Islands Code. IN WITNESS WHEREOF, I have hereunto set my signature this _______ day of ___________________________________________________, _______________. …

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SHA-256 3e3ad578d619aecf142b800f6aa26b87a599f1cb6d92d13f7b48da6e3f1d69b4

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Archive identifier LF-3e3ad578d619

Document text

FORM - RACA12 THE UNITED STATES VIRGIN ISLANDS OFFICE OF THE LIEUTENANT GOVERNOR DIVISION OF CORPORATIONS AND TRADEMARKS RESIDENT AGENT FORM FOR SERVICE OF PROCESS This writing witnesseth that I, the undersigned _________________________________________________, having been designated by _______________________________________________________________, as resident agent of said company, upon whom service of process may be made in all suits arising against said company in the Courts of the United States Virgin Islands, do hereby consent to act as such agent and that service of process may be made upon me in accordance with Titles 11 (Chapter 21), 13, and 26 of the Virgin Islands Code. IN WITNESS WHEREOF, I have hereunto set my signature this _______ day of ___________________________________________________, _______________. ________________________________________________ SIGNATURE OF RESIDENT AGENT DAYTIME CONTACT NUMBER PHYSICAL ADDRESS MAILING ADDRESS EMAIL ADDRESS NOTARY ACKNOWLEDGEMENT (ONLY IN USVI) Subscribed and sworn to before me this ________ day of ________________________________, ___________ at ___________________________________________________. ________________________________________________ Notary Public _______________________________________________ My Commission Expires I DECLARE, UNDER PENALTY OF PERJURY, UNDER THE LAWS OF THE UNITED STATES VIRGIN ISLANDS, THAT ALL STATEMENTS CONTAINED IN THIS APPLICATION, AND ANY ACCOMPANYING DOCUMENTS, ARE TRUE AND CORRECT, WITH FULL KNOWLEDGE THAT ALL STATEMENTS MADE IN THIS APPLICATION ARE SUBJECT TO INVESTIGATION AND THAT ANY FALSE OR DISHONEST ANSWER TO ANY QUESTION MAY BE GROUNDS FOR DENIAL OR SUBSEQUENT REVOCATION OF REGISTRATION. SIGN