Notice Of Change Of Registered Office Form - Minnesota Secretary Of State - 2007
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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
form, go to File->Print.
1.
Entity Name:
______________________________________________________________________________
2.
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.
Registered Agent (
Registered agents are required for foreign entities, but optional for Minnesota entities):
____________________________________________________________________________________
If you do not wish to designate an agent, you must list "NONE" in this box. DO NOT LIST THE ENTITY NAME.
In compliance with Minnesota Statutes, Section 302A.123, 303.10, 308A.025, 308B, 317A.123 or 322B.135,
I certify that the above listed company has resolved to change the entity’s registered office and/or agent as
listed above.
I certify that I am authorized to execute this notice and I further certify that I understand that by signing this
notice I am subject to the penalties of perjury as set forth in Minnesota Statutes Section 609.48 as if I had
signed this notice under oath.
________________________________________________
Signature of Authorized Person
Name & Telephone Number of a Contact Person:
____________________________________(____)____________________
Name
Telephone
please print legibly
Filing Fee payable to the MN Secretary of State
Profit Minnesota Corporations, Cooperatives and Limited Liability Companies: $35.00.
Minnesota Nonprofit Corporations: No $35.00 fee is due, unless you are adding, removing or changing
the agent.
Non-Minnesota Corporations: $50.00.
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