Certificate Of Change Of Address Of Resident Agent And Registered Office Form
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1
2ROSS MILLER
Secretary of State
202 North Carson Street
Carson City, Nevada 89701-4201
(775) 684 5708
Website: secretaryofstate.biz
Certificate of Change of
Address of Resident Agent
and Registered Office
USE BLACK INK ONLY - DO NOT HIGHLIGHT
ABOVE SPACE IS FOR OFFICE USE ONLY
General instructions for this form:
1. Please print legibly or type; Black Ink Only.
2. Complete all fields.
3. The physical Nevada address of the resident agent must beset forth; PMB's are not acceptable.
4. Ensure that document is signed in signature field.
5. Include the filing fee of $60.00 Per type of business entity
The former address of
, the resident agent of the
Name of Resident Agent
business entities listed below was:
Old Address:
Street Address
City
County
Nevada Zip Code
Additional Mailing Address
City
State
Zip Code
The address of the above-named resident agent is now changed to:
New Address:
(MANDATORY) Physical Street Address
City
County
Nevada Zip Code
(OPTIONAL) Additional Mailing Address
City
State
Zip Code
X
Signature of Resident Agent:
Authorized Signature of R.A. or On Behalf of R.A. Company
Type of business entities represented:
(mark each box that applies)
limited-liability company
limited partnership
corporation
limited-liability limited partnership
limited-liability partnership
business trust
Name of business entities represented by resident agent:
(use additional forms if necessary)
Name
Name
Name
Name
This form must be accompanied by appropriate fees.
Nevada Secretary of State RA Address Change 2007
Revised on: 01/01/07
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