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                                   OhioSoS.gov  |  business@OhioSoS.gov 
                                   File online or for more information: OhioBusinessCentral.gov

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To the Attention of (If Necessary):

Address:

City:

State                                                                   ZIP Code:

Phone Number:

                         SERVICE TYPE - Check only ONE item below.

Expedited Fees are IN ADDITION to the filing fee on the form. 
Failure to include the expedite fee or indicate a selection will result in regular service.

 Regular Service
 · No Expedite Fee. 
 · Processing Time: 3-7 business days. 

 Expedite Service 1
 · Fee: $100 
 · Processing Time: 2 business days after receipt. 

 Expedite Service 2
 · Fee: $200 
 · Processing Time: 1 business day after receipt. 

 Expedite Service 3 (in-person delivery is required)
 · Fee: $300 
 · Processing Time: 4 hours if received by 1:00 p.m. If received after 1:00 p.m., documents will be 
          processed by noon the following business day. 

 Preclearance Filing
 · Fee: $50 
 · Processing Time: 1-2 business days after receipt. 
Form 525A                              Page 1 of 4                                         Last Revised: 10/2024

Form 525A Prescribed by:                                     INSTRUCTIONS                                     MAIL TO
                                                             · Include the filing fee.                        Regular Service: 
                                                             · Make check or money order payable to           P.O. Box 788 
                                                             Ohio Secretary of State.                         Columbus, OH  43216 
                                                             · Print on single-sided 8 ½ x 11 paper.          OR 
                                                             · Double sided paper will be rejected.           Expedite Service: 
                                                             · Information must be typed.                     P.O. Box 1390 
                                                             · Illegible forms will be rejected               Columbus, OH  43216
For screen readers, follow instructions located at this path.

                           Reinstatement & Appointment of Agent 
               For a Foreign or Domestic Corporation or Limited Liability Company 
                           For Failure to Maintain a Statutory Agent 
                                                             (108-REN) & (111-FREA) 
                                                               Filing Fee: $25 
                                                              Form Must Be Typed 

Reinstatements MUST be filed within 2 years of cancellation. Check your business status before filing. If it is 
permanently cancelled, you CANNOT reinstate the business.
 
 Name of Entity
 
 Entity Number

 Must complete this section
 
New Statutory Agent Name and Address 
 
 Name of Statutory Agent
 
 Agent Address (Post office boxes and CMRAs are NOT allowed. See instructions for details.)
 
                                                                                                Ohio
 
 City                                                                                           State Zip Code
 
Form 525A                                                      Page 2 of 4                                    Last Revised: 10/2024

 This section must be completed by domestic corporations and foreign and domestic limited liability companies.
                                                Acceptance of Appointment

  The Undersigned,                                                                                             , named herein as the
                       (Name of Statutory Agent)

  Statutory agent for
                       (Name of Corporation)

  hereby acknowledges and accepts the appointment of statutory agent for said corporation.

  Statutory Agent Signature

                              (Individual Agent's Signature / Signature on Behalf of Business Serving as Agent)

By signing and submitting this form to the Ohio Secretary of State, the undersigned hereby certifies that he or she 
has the requisite authority to execute this document.

Required   
 
Reinstatement must                          Signature
be signed by a corporate officer, 
or if a nonprofit corporation, 
then by an officer of three 
                                            By (if applicable)
members in good standing. If a 
limited liability company, by one 
person authorized by the limited 
liability company.                          Print Name
 
If authorized representative 
is an individual, then they 
must sign in the "signature" 
box and print their name                    Signature
in the "Print Name" box. 
 
If authorized representative 
                                            By (if applicable)
is a business entity, not an 
individual, then please print 
the business name in the 
"signature" box, an                         Print Name
authorized representative 
of the business entity 
must sign in the "By" box 
and print their name in the 
"Print Name" box.                           Signature
  
                                            By (if applicable)

                                            Print Name

Form 525A                                             Page 3 of 4                                              Last Revised: 10/2024

              Instructions for Reinstatement & Appointment of Agent

Entity Information   
The entity must provide the name and entity number.   
     
Appointment of Agent - O.R.C. 1701.07, 1702.06, 1703.041, and 1706.09   
Ohio business entities and foreign business entities that are registered or licensed in Ohio must appoint 
and maintain a statutory agent to accept service of process. The statutory agent must be one of the 
following: (1) A natural person residing in Ohio; or (2) a domestic or foreign business entity with an Ohio 
address. 
 
Statutory Agent Address Requirements 
A statutory agent address may either be the primary residence address of the agent or the usual place of 
business address. The statutory agent address must be an Ohio address. 
 
Statutory Agent Address Prohibitions 
Post Office (P.O.) boxes are NOT allowed. 
 Exception: If a Post Office Box and Rural Route Number are both provided, the address is allowed. 

Commercial Mail Receiving Agency (CMRA) addresses are NOT allowed. A CMRA is a private business 
that rents private mailboxes to customers. 
 
Acceptance of Appointment 
The statutory agent must sign the Acceptance of Appointment    .  
     
Additional Provisions     
If the information you wish to provide for the record does not fit on the form, please attach additional 
provisions on a single-sided, 8 1/2 x 11 sheet(s) of paper.  
     
Signature(s)  
After completing all information on the filing form, please make sure that the form is signed. If the 
applicant is a corporation, the reinstatement form must be signed by a corporate officer.    
If the applicant is a nonprofit corporation, the reinstatement form must be signed by an officer or three 
members in good standing. If the entity is a limited liability company, the form must be signed by at least 
one authorized person.    
     
**Note:  Our office cannot file or record a document that contains a social security number or tax 
identification number.  Please do not enter a social security number or tax identification number, 
in any format, on this form.     

Form 525A                                    Page 4 of 4                Last Revised: 10/2024