Form Llc 10 - Statement Of Change Of Business Office By The Registered Agent Of A Limited Liability Company
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State of Missouri
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Matt Blunt, Secretary of State
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Corporations Division
P.O. Box 778 / 600 W. Main Street, Rm 322
Jefferson City, MO 65102
Statement of Change of Business Office
by the Registered Agent of a
Limited Liability Company
(Submit in duplicate with filing fee of $10)
Instructions
This form is to be used by an existing registered agent to change the address of its business office. The registered
office may be the same as the place of business of the limited liability company. The address of its registered
office and the address of the business office of its registered agent must be identical. The limited liability
company cannot act as its own registered agent. The signature of the agent, if a corporation, must be executed by
an authorized person(s). Any subsequent change in the registered office or registered agent must be immediately
reported to the Secretary of State.
Charter No.__________________________
1.
The name of the Limited Liability Company is:__________________________________________________________________
________________________________________________________________________________________________________
2.
The name of the registered agent is: __________________________________________________________________________
________________________________________________________________________________________________________
3.
The address, including street number, of the present business office of the registered agent is:
________________________________________________________________________________________________________
Address
City/State/Zip
4.
The address, including street number, of the business office of the registered agent is hereby changed to:
________________________________________________________________________________________________________
Address
(P.O. Box may only be used in conjunction with a physical street address)
City/State/Zip
5.
The address of the registered office of the limited liability company named above and the business office of the
registered agent, as changed, are identical.
6.
Notice in writing of the change has been mailed by the registered agent to the limited liability company named above.
In affirmation thereof, the facts stated are true:
___________________________________________________________________________________________________________
(Authorized Signature of Registered Agent)
(Printed Name)
(Date)
LLC 10 (12/02)
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