RA Info Update - Stateside APM

Please complete this form to ensure we have the correct information on file.

Entity Name *

please enter the full registered name of your LCC or other entity

State registered *

this is the stae that your LLC was formed in

Other states it conducts business in *

If you own properties in more than 1 state please enter the other state name here. Enter None if you only own in 1 state

How many members are there? *

enter how many menbers there are. if you are the only member enter 1

Main contact

First name *

given name

Last name *

family name

Ownership % *

what percentage do you own. if you are the only member enter 100%

Email *

Confirm Email *

Phone *

please enter your main phone number, including the country code. enter it as you would dial it from another country

Address *

please enter the address where you live, this is NOT the same as your LLC

Address 2

City *

Country *

Post Code/ZIP

First name *

Last name *

Email *

Phone *

Ownership % *