Notice Form Of Change Of Registered Office/registered Agent

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For your convenience, this
form has been designed to be
completed online. You must
have Acrobat Reader 7.0 or
MINNESOTA SECRETARY OF STATE
above to use this new feature.
NOTICE OF CHANGE OF
Once your form is completed,
be sure to select "Print" at the
REGISTERED OFFICE/REGISTERED AGENT
bottom of the screen to capture
your data entry for printing.
After printing, sign and send
applicable fees as
required.Note: Selecting
Read the instructions before completing this form.
"Reset" will clear all data entry
from this page. To print a blank
1. Entity Name:
form, go to File->Print.
______________________________________________________________________________
2. New Registered Office Address:
List a complete street address or rural route and rural route box number.
(A post office box by itself is not acceptable)
______________________________________________________________MN_____________________
Street
City
State
Zip Code
3. New Registered Agent
:
____________________________________________________________________________________
Note: Some business types do not require an agent to be listed. If you do not wish to designate an agent, you must list "NONE" in this box.
DO NOT LIST THE ENTITY NAME.
If the business entity has changed their agent or the registered office address, this change was authorized by a
resolution approved by the affirmative vote of a majority of the governing body of the business entity as required
by Section 5.36, Subd. 3. If the agent has changed their name or their address, then a copy of the change has been
sent to the business entity or their legal representative as required by Section 5.36, Subd. 5. In compliance with
Section 5.36, the address of the registered office and the address of the business office of the registered agent(s) are
identical.
I, the undersigned, certify that I am signing this document as the person whose signature is required, or as agent
of the person(s) whose signature would be required who has authorized me to sign this document on his/her behalf,
or in both capacities. I further certify that I have completed all required fields, and that the information in this
document is true and correct and in compliance with the applicable chapter of Minnesota Statutes. I understand
that by signing this document I am subject to the penalties of perjury as set forth in Section 609.48 as if I had
signed this document under oath.
_______________________________________________
Signature of Authorized Person or Authorized Agent
Name & Telephone Number of a Contact Person:
____________________________________(____)____________________
Name
Telephone
Filing Fee payable to the MN Secretary of State
Minnesota Business Corporations, Minnesota Cooperatives, and Minnesota and Foreign Limited Liability
Companies: $35.00
Minnesota Nonprofit Corporations: No $35.00 fee is due unless you are adding, removing or changing
the agent, in which case a $35.00 fee is charged
Foreign Corporations and Cooperatives: $50.00
Reset
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