STATE OF MONTANA
This is the minimum information required.
(This space for use by the Secretary of State only)
STATEMENT of CHANGE
of COMMERCIAL REGISTERED AGENT
and/or REGISTERED OFFICE
:
LINDA McCULLOCH
MAIL
Secretary of State
P.O. Box 202801
Helena, MT 59620‐2801
P
:
(406) 444‐3665
HONE
F
:
(406) 444‐3976
AX
W
S
:
sos.mt.gov
EB
ITE
No Fee
24 Hour Priority Filing Add $ 20.00
1 Hour Expedite Filing Add $100.00
For the purpose of modifying their commercial registered agent information on file with the Montana Secretary of
State, the undersigned submits the following statements in accordance with 35‐7‐110, MCA:
1. The exact name of the entity:
____________________________________________________________________________________________
Registered Agent Information
2. The name of the current registered agent: ________________________________________________
3. The new type or jurisdiction of organization: ______________________________________________
4. The new name of the registered agent: ___________________________________________________
5. The street and mailing address of the new registered office (must be in Montana):
____________________________________________________________________________________
____________________________________________________________________________________
(Include street name and number or physical location in addition to box number with the city and zip)
6. A commercial registered agent shall promptly furnish each entity represented by it with notice of record of the
filing of a statement of change relating to the name or address of the agent and the changes made by the filing.
7. By my signature, I, as commercial registered agent, do state that I signed this statement and that the statements
contained therein are true, under penalty of false swearing.
_____________________________________________ ___________________________
Signature of Registered Agent or Authorized Person
Dated
(Mo/Day/Yr)
_____________________________________________
Printed Name and Title of above Authorized Person
83‐Commercial_Statement_of_Change_of_Agent_and_Office.doc
Revised: 1/5/2009