WEB SITE DOCUMENT PROVIDER
ANNUAL RENEWAL OF REGISTRATION
Pursuant to 27 N.C.A.C. Ch. A, Sub. E § 0505, a registered Web site document provider renew its
registration each year before June 30. The renewal fee is $50.00.
Pursuant to 27 N.C.A.C. Ch. A, Sub. E § 0507, the initial and renewal registrations will expire on June 30
each year. If a registered provider fails to pay the renewal registration fee by July 31, the secretary will
notify the provider that the registration has expired. If a provider submits a renewal registration after
its registration has expired, it will be treated as an initial registration.
Renewal of the registration does not constitute approval by the North Carolina State Bar. The operation
of the Web site 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 Web site complies with all laws including N.C.
Gen. Stat. § 84-2.1 or 2.2.
Submission of this form, either online or to the following mailing address, accompanied by payment by
check made payable to the North Carolina State Bar will satisfy the Web site provider’s registration
Secretary of the North Carolina State Bar
c/o David Johnson, Deputy Counsel
North Carolina State Bar
P.O. Box 25908
Raleigh, North Carolina 27611
Web Site Provider Registration Renewal Information
Check here if there are no changes from the initial or prior year registration. If there are any
changes, show the changes in the fields below.
Legal owner of Web site Domain:
Web site Domain Registrar:
Date Web site Established:
Date Current Domain Registration Expires:
Ownership of Web site
Legal Name of Web site 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: