State Form 50656 - Notice Of Change Of Principal Office Address

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CONNIE LAWSON
NOTICE OF CHANGE OF PRINCIPAL OFFICE ADDRESS
SECRETARY OF STATE
CORPORATIONS DIVISION
State Form 50656 (R3 / 4-12)
302 W. Washington Street, Room E018
Indianapolis, Indiana 46204-2700
Telephone: (317) 232-6576
Use 8 1/2" x 11" white paper for attachments.
INSTRUCTIONS:
Present original and one copy to address in upper right corner of this form.
Indiana Code 23--1-1-1 et seq.
Please TYPE or PRINT.
NO FILING FEE
Please visit our office on the web at .
Name of corporation or other entity
Date of incorporation / organization / registration (month, day, year)
Address of current principal office (number and street, city, state, and ZIP code)
Address of new principal office (number and street, city, state, and ZIP code)
IN WITNESS WHEREOF, the undersigned executes this notice and verifies, subject to the penalties of perjury, that the
statements contained herein are true, this ________________ day of ____________________________ , 20 _____ .
Signature
Title

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