Mississippi > Secretary Of State > Corporations > Limited Liability Company
Registered Agent Or Office Statement Of Change F0121 - Mississippi
| Registered Agent Or Office Statement Of Change Form. This is a Mississippi form and can be used in Limited Liability Company Corporations Secretary Of State . |
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F0121 - Page 1 of 2 OFFICE OF THE MISSISSIPPI SECRETARY OF STATE P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1333 Registered Agent/Office Statement of Change *0121-1-2* 1. Limited Liability Company ID 2. Limited Liability Company Name 3. Federal Tax No. 4. Name and Street Address of the Registered Agent and Registered Office is Name Physical Address P.O. Box City, State, ZIP5, ZIP4 - 6. New Registered Agent Name 7. If agent has changed, mark appropriate box 7A. The undersigned hereby accepts designation as registered agent for service of process Signature of Registered Agent (Please keep writing within block) OR 7B. Statement of written consent is attached, signed by the new registered agent 8. New street address of registered office Rev. 01/96 <<<<<<<<<********>>>>>>>>>>>>> 2 F0121 - Page 2 of 2 OFFICE OF THE MISSISSIPPI SECRETARY OF STATE P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1333 Registered Agent/Office Statement of Change *0121-2-2* Physical Address P.O. Box City, State, ZIP5, ZIP4 - 9. The Limited Liability Company has been notified of the change of registered office Yes No By: Signature (Please keep writing within blocks) Printed Name Title Street and Mailing Address Physical Address P.O. Box City, State, ZIP5, ZIP4 -Rev. 01/96
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