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A person who is designated as an agent for service of process must sign the statement of appointment to evidence acceptance of the appointment. Instructions: • Complete and include this form with your paper submission.Non-Profit Association according to West Virginia Code. Sec. 252.011. APPOINTMENT OF AGENT TO RECEIVE SERVICE OF PROCESS. Statement of authority as to real property. --A nonprofit association may deliver to the department for filing a statement appointing an agent to receive service of process. --A nonprofit association may deliver to the department for filing a statement appointing an agent to receive service of process. Provide the name of the registered agent. (a) A nonprofit association may file in the office of the Secretary of State a statement appointing an agent authorized to receive service of process. (a) A nonprofit association shall file in the office of the Secretary of State a statement appointing an agent authorized to receive service of process.