SECRETARY OF STATE
File Date _____________
STATEMENT OF CHANGE OF REGISTERED OFFICE
STATE CAPITOL
Receipt No. ___________
OR REGISTERED AGENT, OR BOTH
500 E. CAPITOL AVE.
Clear Form
PIERRE, S.D. 57501
605-773-4845
Print
FILING FEE: $10
Pursuant to the provisions of the Uniform Partnership Act, the undersigned Limited Liability Partnership submits the following
statement for the purpose of changing its registered office and/or its registered agent in the state of South Dakota.
1. The name of the limited liability partnership is
2. The street address of its current registered office
ZIP + 4
3. The street address to which the registered office is to be changed. A PO Box Number can be used for mailing but a street address
must also be included.
ZIP + 4
4. The name of its current registered agent is
5. The name of its new registered agent is *
* The Consent of Registered Agent below must be completed by the new agent.
6. The address of its registered office and the address of the business office of its registered agent, as changed, will be identical.
The statement may be signed by any partner.
Dated __________________
________________________________________________________
(Signature)
________________________________________________________
(Printed Name)
________________________________________________________
(Title)
CONSENT OF APPOINTMENT BY THE REGISTERED AGENT
I, ___________________________________________________________, hereby give my consent to serve as the
(name of registered agent)
registered agent for ____________________________________________________________________________
(limited liability partnership)
Dated _________________________________
__________________________________________
(signature)
llpstatementofchange september 2006