Statement Of Change Of Registered Office, Or Registered Agent, Or Both - South Dakota Secretary Of State
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1SECRETARY OF STATE
STATEMENT OF CHANGE OF REGISTERED OFFICE,
STATE CAPITOL
500 E. CAPITOL AVE.
OR REGISTERED AGENT, OR BOTH
Clear Form
PIERRE, S.D. 57501
FILING FEE: $10
605-773-4845
Information
Pursuant to the provisions of the South Dakota Corporation Acts, the undersigned corporation 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 corporation is
2. The previous street address or a statement that there is no street address, of its registered office
ZIP
3. The street address, or a statement that there is no street address, to which the registered office is to be changed is
ZIP
4. The name of its previous registered agent is
5. The name of its successor 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.
7. This change has been authorized by resolution duly adopted by the board of directors.
The statement may be signed by the chairman of the board of directors, by its president or by another of its officers in the presence of a notary
public.
Date __________________
___________________________________________________
(Signature)
___________________________________________________
(Title)
STATE OF ___________________________
__________________________
COUNTY OF
I, ________________________________________, a notary public, do hereby certify that on this _______ day of ______________________, 20____,
personally appeared before me ________________________________________________ who, being by me first duly sworn, declared that he/she is the
____________________________ of _____________________________________________, that he/she signed the foregoing document as officer of the
corporation, and the statements therein contained are true.
_______________________________
__________________________________________________
My Commission Expires
(Notary Public)
Notarial Seal
CONSENT OF APPOINTMENT BY THE REGISTERED AGENT
I, ______________________________________________, hereby give my consent to serve as the
(name of registered agent)
registered agent for _____________________________________________________________________
(corporate name)
Dated ____________________
____________________________________
(signature of registered agent)
STCHNGE.DOC
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