Instructions For Completion Of Change Of Statutory Agent'S Address Form

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INSTRUCTIONS FOR COMPLETION OF CHANGE OF
STATUTORY AGENT'S ADDRESS FORM
Domestic or Foreign Limited Liability Company
Instructions correspond with numbered entries on the form
1.
NAME OF LIMITED LIABILITY COMPANY: Please provide the name of the limited
.
liability company as it appears on the records of the Secretary of the State
2.
CURRENT AGENT NAME AND NEW ADDRESS INFORMATION: This form may not
be used to appoint a NEW agent. Please provide the name of the CURRENT statutory
agent. If the agent is a natural person, provide the complete street address of his or her
business and residence. If the agent is a corporation or limited liability company, it must
provide the address of its principal office in the block designated for "Business address" and
any person signing on its behalf must include his or her title on the signature line.
3.
EXECUTION: The agent must print or type his or her full legal name in addition to an
original signature. Note that the execution constitutes a statement made under the penalties
of false statement that the information provided in the document is true.

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