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The address of the CURRENT registered OFFICE, as indicated on the Secretary of the street address of their business office on this form, the Registered Agent.

Designation of Registered Office Address and/or Registered Agent. BE-05 • $5.00. PDF Form used for designating a registered office and/or registered agent for 

can obtain form SSA-7050-F4 from your local Social Security office or online at www.ssa.gov/online/ssa-7050.pdf. How to Complete this Form. We will not honor 

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