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Instructions For Completion Of The Change Of Registered Agent'S Address Form - Secretary Of The State

INSTRUCTIONS

FOR COMPLETION

OF THE CHANGE

REGISTERED

AGENT’S ADDRESS FORM

Instructions correspond with numbered entries on the form

NAME OF CORPORATION:

Please provide the full name of the corporation as it

appears on the records of The Secretary of the State.

CURRENT AGENT NAME AND NEW ADDRESS INFORMATION:

Please provide

the full name of the corporation’s agent, as it currently appears on the records of the

Office of the Secretary of the State, and the new address information pertaining to that

agent. Information regarding the agent’s new address will replace the information on the

current indexes of this office. Note: all addresses must include a street number,

street name, city, state, and postal code. P.O. Boxes are only acceptable as

additional

information.

EXECUTION:

The agent must print or type their name and provide an original signature.

The execution constitutes a legal statement under the penalties of false statement

that the information

provided in the document is true.

Instructions For Completion Of The Change Of Registered Agent'S Address Form - Secretary Of The State