Fill - Free fillable INITIALWEBSITEDOCUMENTPROVIDERREGISTRATION PursuanttoN.C.Gen.Stat.842.2,allpersons,firms,orcompaniesthatoperateawebsitethatoffers consumersaccesstointeractivesoftwarethatgeneratesalegaldocumentbasedon PDF form

INITIALWEBSITEDOCUMENTPROVIDERREGISTRATION



PursuanttoN.C.Gen.Stat.§84‐2.2,allpersons,firms,orcompaniesthatoperateawebsitethatoffers

consumersaccesstointeractivesoftwarethatgeneratesalegaldocumentbasedontheconsumer’s

answerstoquestionspresentedbythesoftwarethatcomplieswiththerequirementsof

thestatute

mustregisterwiththeNorthCarolinaStateBarbeforecommencingoperationinNorthCarolina.



RegistrationdoesnotconstituteapprovalbytheNorthCarolinaStateBar.Theoperationofthewebsite

mustcomplywithallpertinentlaws,includingtheprohibitionontheunauthorizedpracticeoflawin

N.C.Gen.

Stat.§84‐2.1‐10.RegistrationdoesnotconstituteagreementoracquiescencebytheStateBar

thattheoperationofthewebsitecomplieswithalllawsincludingN.C.Gen.Stat.§84‐2.1or2.2.



AwebsiteprovidermustfileaninitialregistrationwiththeStateBarandmustrenewthe

registration

annually.Theinitialregistrationfeeis$ 100.Theannualrenewalfeeis$50.



Submissionofthisform,eitheronlineorviathefollowingaddress,willsatisfythewebsiteprovider’s

registrationrequirement:



SecretaryoftheNorthCarolinaStateBar

c/oDavidJohnson,DeputyCounsel

NorthCarolinaStateBar

POBox

25908

Raleigh,NorthCarolina27611



WebsiteProviderRegistration



WebsiteName:

WebsiteURL:

LegalOwnerofWebsiteDomain:

WebsiteDomainRegistrar:

DateWebsiteEstablished:

DateCurrentDomainRegistrationExpires:



OwnershipofWebsite

LegalNameofWebsiteOwner:

Owneris: Individual Corporation,LLC Other(identify)

Ifacorporationorotherentity,jurisdictionwhereformed:

Ifacorporationorotherentity,jurisdictionwhereinitiallyregistered:



PhysicalLocationofOwner’sPrincipalPlaceofBusiness

Address1:

Address2:

City: State: Zip:



NameofAgentforServiceofProcess:

Address1:

Submit via Email

Address2:

City: State: Zip:



ContactInformation

NameofWebsiteContactPerson:

Address1:

Address2:

City: State: Zip:

Telephone: Email:



ThewebsiteproviderrepresentstotheNorthCarolinaStateBarthatitsatisfiesthestatutorycriteria:



Theconsumerisprovidedameanstoseetheblanktemplateorthefinal,completeddocument

beforefinalizingapurchaseofthatdocument.



AnattorneylicensedtopracticelawinthestateofNorthCarolinahasreviewedeachblank

templateofferedtoNorthCarolinaconsumers,includingeachandeverypotentialpartthereof

thatmayappearinthecompleteddocument.Thenameandaddressofeachreviewingattorney

isonfilewiththeprovider

andprovidedtotheconsumeruponwrittenrequest.



Theprovidercommunicatestotheconsumerthattheformsortemplatesarenotasubstitutefor

theadviceorservicesofanattorney.



Theproviderdisclosesitslegalnameandphysicallocationandaddresstotheconsumer.



Theproviderdoesnotdisclaimanywarr anties orliabilityanddoesnotlimittherecoveryof

damagesorotherremediesbytheconsumer.



Theproviderdoesnotrequiretheconsumertoagreetojurisdictionorvenueinanystateother

thanNorthCarolinafortheresolutionofdisputesbetweentheproviderandtheconsumer.



Theproviderhasaconsumersatisfactionprocess.Allconsumerconcernsinvolvingthe

unauthorizedpracticeoflawmadetotheprovidershallbereferredtotheNorthCarolinaState

Bar.Theconsumersatisfactionprocessmustbeconspicuouslydisplayedontheprovider's

website.



Ihavereadtheforegoingform.Allinformationistrueandcorrecttothebestofmyknowledge.A

nonrefundableinitialregist rationfeeintheamountof$100,madepayabletotheNorthCarolinaState

Bar,isenclosed.



AuthorizedSignature



Name:

Title:

Date:



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INITIALWEBSITEDOCUMENTPROVIDERREGISTRATION PursuanttoN.C.Gen.Stat.842.2,allpersons,firms,orcompaniesthatoperateawebsitethatoffers consumersaccesstointeractivesoftwarethatgeneratesalegaldocumentbasedontheconsumers thestatute answerstoquestionspresentedbyth

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