Change Of Registered Office Or Registered Agent Form

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CHANGE OF REGISTERED OFFICE OR REGISTERED AGENT
Name of the Corporation, profit or non-profit, (or) the Limited Liability Company:
____________________________________________________________________________________
The street address, of its current registered office:
street__________________________________city__________________VT (zip)___________
If the current registered office is to be changed, the street address of the new registered office:
street/box_______________________________city____________________VT (zip)_______
The name of its current registered agent:_____________________________________________
If the current registered agent is to be changed, the name and business address of the new
registered agent and the new agent's written consent (either on this statement or attached)
to the appointment:
Name of new agent: ______________________________________________________________
street/box#_________________________________city________________VT (zip)________
Signature of NEW agent___________________________________________________________
If the registered agent is changing the street address of his or her business office, and the street
address of the registered office of the corporation or LLC for which he or she is registered
agent, the corporation or LLC must be notified in writing of the change and signing (either
manually or in facsimile) and delivering to the Secretary of State for filing a statement that complies
with the requirements and recites that the corporation or LLC has been notified of the change.
Signature__________________________________Title____________________Date_____________
$5.00 FEE Please type or print and file in duplicate.

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