Change Of Agent - Foreign Limited Liability Company Form December 1999
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1CHANGE OF AGENT
FOREIGN LIMITED LIABILITY
COMPANY
Office of the Secretary of the State
30 Trinity Street / P.O. Box 150470 / Hartford, CT 06115-0470 / Rev. 12/l 999
Please see reverse for instructions
Space For Office Use Only
1. NAME
OF LIMITED
LIABILITY
COMPANY
IN STATE OR COUNTRY
OF FORMATION:
!. THE NAME
UNDER WHICH
THE LIMITED
LIABILITY
COMPANY
TRANSACTS
BUSINESS
IN
CONNECTICUT,
IF DIFFERENT
FROM NAME
STATED
IN NUMBER
1
ABOVE:
1. STATE/COUNTRY
OF FORMATION:
4. APPOINTMENT
OF NEW REGISTERED
AGENT
FOR SERVICE
OF PROCESS:
(Check A a complete B.)
The limited liability company appoints the Secretary of the State of Connecticut and his
successors in office to be its agent
upon whom any process, in any action or proceeding against it,
may be served.
3. Print or type
name of agent
Business address: (P.O. Box is unacceptable)
Residence address: (P.O. Box is unacceptable)
Acceptance of Appointment
Signature of Agent
5. EXECUTION:
Dated this
day of
920
*
Print or type name of signatory
Capacity of signatory
Signature
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