Business Registration - Optional Inclusion of Ownership Data
This form must be type written or computer generated.
State of Utah
Print Form
DEPARTMENT OF COMMERCE
Division of Corporations & Commercial Code
Clear Form
Commercial Registered Agent Changes
Non-refundable Processing Fee $52.00
1. The Name of the Commercial Registered Agent:
2. The Commercial Registered Agent Number:
3. Has the name of the agent changed?
Yes
No
If yes, what is the new name of the agent?
4. Has the address of the Commercial Registered Agent changed?
Yes
No
If yes, what is the new address of the Commercial Registered Agent?
Address: ______________________________________________________________________________________________________
City:
State/Province:
Zip:
5. Has the type or jurisdiction of organization of the Commercial Registered Agent changed?
Yes
No
If yes, what is the new type or jurisdiction of organization of the Commercial Registered Agent?
A commercial registered agent shall promptly furnish each entity represented by it with notice in a record of the filing of a
statement of change relating to the name or address of the agent and the changes made by the filing.
Under penalties of perjury, I declare that this Commercial Registered Agent Change Form has been examined by
me and is, to the best of my knowledge and belief, true, correct and complete.
Sign here after the form is printed
Signature:
Title:
Date:
Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes, you may
use the business entity physical address rather than the residential or private address of any individual affiliated with the entity.
Mailing/Faxing Information:
Division's Website: