Business Corporation Statement Of Change Of Registered Office Form - 2007-
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1BUSINESS CORPORATION
SECRETARY OF STATE
Clear Form
STATE CAPITOL
STATEMENT OF CHANGE OF REGISTERED OFFICE
500 E. CAPITOL
PIERRE, S.D. 57501-5077
OR REGISTERED AGENT, OR BOTH
605-773-4845
HELP
FILING FEE: $10
Pursuant to the provisions of the South Dakota Business Corporation Act, 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 name of the registered agent on file is ____________________________________________________________
3. The street address of the registered office on file
______________________________________________________________________________________________
Street Address
City
State
ZIP+4
4. The name of the successor registered agent is *________________________________________________________
*The Consent of Registered Agent below must be completed by the new agent.
5. The new street address to which the registered office is to be changed (Required)
______________________________________________________________________________________________
Street Address
City
State
ZIP+4
6. An optional mailing address may be listed (a complete street address must be listed on line 5)
______________________________________________________________________________________________
Mailing Address
City
State
ZIP+4
7. The address of its registered office and the address of the business office of its registered agent, as changed, will be
identical.
The statement of change shall be signed by an authorized officer of the corporation.
Dated ____________________________
______________________________________________
(Signature)
______________________________________________
(Printed Name)
______________________________________________
(Title)
CONSENT OF APPOINTMENT BY THE REGISTERED AGENT
I, ___________________________________________________________,hereby give my consent to serve as the
(Name of Registered Agent)
registered agent for the above named corporation.
Dated _______________________________________
_________________________________________
(Signature)
statementofchange September 2007
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