Notice Of Change Of Registered Agent Form - Arkansas Secretary Of State printable pdf download

NOTICE OF CHANGE OF REGISTERED AGENT

MARK ENTITY TYPE

Corporation-Profit

General Partnership

Limited Liability Limited Partnership

Corporation-Non Profit

Limited Partnership

Limited Liability Company

Limited Liability Partnership

Pursuant to the Laws of the State of Arkansas, the undersigned submits the following statement for the purpose of

changing its registered agent in the State of Arkansas. If this statement reflects a change in registered agent for any

entity or entities other than listed, this form must be accompanied by notice of such change to any and all applicable

entities.

1. Name of corporation: ____________________________________________________________________________

2. Is the entity:

Domestic

Foreign

3. Street address of registered agent for service of process changing from: ____________________________________

Street Address

_____________________________________________________________________________________________

Street Address Line 2

City, State Zip

4. Street address for service of process to which registered agent is changing:_________________________________

Street Address

_____________________________________________________________________________________________

Street Address Line 2

City, State Zip

(The address of the registered agent for service of process and the business address of the registered agent must be identical.)

5. Name of registered agent changing from: _______________________ To: _________________________________

I, _______________________________herby consent to serve as registered agent for this entity.

____________________________________________

Successor Agent

A letter of consent from successor agent may be submitted in lieu of this signature.

A copy bearing the file mark of the Secretary of State shall be returned.

If this entity is a corporation governed by Act 576 of 1965 such change must be filed with the County Clerk of the County

in which its address for service of process is located, unless the address for service of process is located in Pulaski

County, in which event no filing with the County Clerk is required.

I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class

C misdemeanor and is punishable by a fine up to $ 100.00 and /or imprisonment up to 30 days.

_____________________________________________

Signature and Title of Authorized Officer

_____________________________________________

Printed Name and Title of Authorized Officer

Dated: ____________________________________________

NO FEE

DO-3/DN-04/FN-06/”ALL” Rev.06/07

Notice Of Change Of Registered Agent Form - Arkansas Secretary Of State

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