Change Of Statutory Agent'S Address Form (Domestic Or Foreign Statutory Trust) - Connecticut Secretary Of State
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1CHANGE OF STATUTORY AGENT'S ADDRESS
DOMESTIC OR FOREIGN STATUTORY TRUST
Office of the Secretary of the State
MAILING ADDRESS:
DELIVERY ADDRESS:
Commercial Recording Division
Commercial Recording Division
Connecticut Secretary of the State
Connecticut Secretary of the State
P.O. Box 150470
30 Trinity Street
Hartford, CT 06115-0470
Hartford, CT 06106
860-509-6002
860-509-6002
Filing Fee: $25.00
Space For Office Use Only
1. NAME OF STATUTORY TRUST:
2. CURRENT AGENT NAME AND NEW ADDRESS INFORMATION:
Name of agent:
Business office address:
Residence address:
3. EXECUTION:
Dated this _________________day of ____________________, 20______.
Print or type name of trustee
Signature of trustee
REV. 05/24/2007
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