This form must be type written or computer generated.
Link to Limited Liability Company Registration Information Change Form
State of Utah
Print Form
DEPARTMENT OF COMMERCE
Division of Corporations & Commercial Code
Clear Form
Limited Liability Company Registration Information Change Form Addendum
_________________________
Entity File Number:
_____________________________________________________________________________________________
Entity Name:
For each Yes button that you mark the question will appear below for you to fill out.
1). Do you want to Add individuals to the Business Entity?
Yes
No
1). If Yes, who do you want to Add to the Business Entity and what Position will they hold?
Select/Type the position here
Name: ____________________________________________
Position: ___________________________________________
Address: ________________________________________________ City ___________________ State ______ Zip __________
Select/Type the position here
Name: ____________________________________________
Position: ___________________________________________
Address: ________________________________________________ City ___________________ State ______ Zip __________
Select/Type the position here
Name: ____________________________________________
Position: ___________________________________________
Address: ________________________________________________ City ___________________ State ______ Zip __________
2). Do you want to Remove individuals from the Business Entity?
Yes
No
2). If Yes, who do you want to Remove from the Business Entity and what Position do they hold?
Select/Type the position here
Name: _________________________________________
Position: ___________________________________________
Select/Type the position here
Name: _________________________________________
Position: ___________________________________________
Select/Type the position here
Name: _________________________________________
Position: ___________________________________________
3). Do you want to Change the Address of the Business Entity’s Principal(s)?
Yes
No
3). If Yes, who is the Principal(s) whose Address you wish to Change?
Select/Type the position here
Name: ____________________________________________
Position: ___________________________________________
Address: ________________________________________________ City ___________________ State ______ Zip __________
Select/Type the position here
Name: ____________________________________________
Position: ___________________________________________
Address: ________________________________________________ City ___________________ State ______ Zip __________
Select/Type the position here
Name: ____________________________________________
Position: ___________________________________________
Address: ________________________________________________ City ___________________ State ______ Zip __________
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.
Under penalties of perjury and as an authorized authority, I declare that this statement of change(s), has been examined by me and is, to the best of my
knowledge and belief, true, correct and complete.
Sign here after printing form
Name/Title: ___________________________________ Signature: _________________________________ Date: _____________________
Division's Website:
Mailing/Faxing Information:
/contactus.html