Statement Of Change By Registered Agent - Wyoming Secretary Of State
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1
2Ed Murray
Wyoming Secretary of State
2020 Carey Avenue, Suite 700
Cheyenne, WY 82002-0020
For Office Use Only
Ph. 307.777.7311
Fax 307.777.5339
Email:
Business@wyo.gov
Statement of Change by Registered Agent
This form is used ONLY to change a registered agent’s current information on file, not to change registered agents.
1. This change affects every entity that I represent. (If not, please contact our office.)
2. Name of current registered agent and physical address of current registered office:
Current Registered Agent:
Current Registered Office Address:
***The information listed for the current registered agent should match what is on file with the Secretary of State’s office exactly.
3. New name of registered agent (if applicable) and physical address of new registered office (if applicable):
New Name of Registered Agent:
For consistency the Secretary of State’s Office will only keep one version of the agent’s name on file.
New Registered Office Address:
Registered Agent PO Box:
The PO Box will only be entered if it is in the same city as the physical address listed above.
4. I hereby certify that I am in compliance with all requirements of W.S. 17-28-101 through W.S. 17-28-111.
5. After the changes are made, the physical address of my registered office and business office will be identical.
RA-RO ChangeByRA – Revised October 2015
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