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Statement Of Change Of Registered Office By Agent DSCB 15-108 - Pennsylvania
| Statement Of Change Of Registered Office By Agent Form. This is a Pennsylvania form and can be used in Miscellaneous Department Of State . |
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PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS Statement of Change of Registered Office by Agent (15 Pa.C.S. § 108) Name Address City State Zip Code Document will be returned to the name and address you enter to the left. Fee: $5 In compliance with the requirements of 15 Pa.C.S. § 108 (relating to change in location or status of registered office provided by agent), the undersigned person who maintains the registered office of an association and who desires to change the following with respect to such agency hereby states that: 1. The name of the association represented by the undersigned person is: 2. The current name of the person in care of the foregoing office: ______________________________________ The person named immediately above in this paragraph has been designated in fact as the agent in care of the registered office in the Commonwealth of Pennsylvania of the association named in paragraph 1 of this statement. For change in the name of the Agent 3. The name to which the person in care of the foregoing office shall be changed to is: ____________________________________________________________________________________________ For change in the registered office of the association 4. The address of the present registered office in this Commonwealth of the above-named association is: Number and Street City State Zip County American LegalNet, Inc. www.FormsWorkFlow.com DSCB:15-108-2 5. The new registered office address in this Commonwealth of the above-named association represented is: Number and street City State Zip County For termination of status as provider of the registered office 6. ___The status of the agent as provider of the registered office of the above-named association has been terminated. 7. The last known address above-named association represented is: Number and street City State Zip County IN TESTIMONY WHEREOF, the undersigned person has caused this Statement of Change of Registered Office by Agent to be signed this day of . , Name Signature Title Rev. 11/2010 American LegalNet, Inc. www.FormsWorkFlow.com DSCB:15-108-3 Department of State Bureau of Corporations and Charitable Organizations P.O. Box 8722 Harrisburg, PA 17105-8722 (717) 787-1057 Web site: www.dos.state.pa.us/corps Instructions for Completion of Form: A. Typewritten is preferred. If not, the form shall be completed in black or blue-black ink in order to permit reproduction. The filing fee for this form is $5 made payable to the Commonwealth of Pennsylvania. Checks must contain a commercially pre-printed name and address. B. Under 15 Pa.C.S. § 135(c) (relating to addresses) an actual street or rural route box number must be used as an address, and the Department of State is required to refuse to receive or file any document that sets forth only a post office box address. C. This form is to be signed on behalf of the agent named in Paragraph 2, not by an officer of the association named in Paragraph 1. The term "name of the person in care of the office" in Paragraph 4 refers to the proper name of the corporation service company/agent/registered office provider. D. A separate form DSCB:15-108 shall be filed for each association represented by the agent named in Paragraph 4. E. The agent is required by 15 Pa.C.S. § 108(b) (relating to action by and notice to association) to furnish to the association a copy of this form as filed in the Department. F. Under 15 Pa.C.S. § 108(a) (relating to general rule), if the status of an agent as a provider of a registered office is terminated by this filing, the location of the registered office of the association represented is not affected, but the person formerly in care of the office (e.g. corporation service company/agent/registered office provider) shall thereafter not have any responsibility with respect to matters tendered to the office in the name of the association represented. The association should immediately file in the Department an appropriate form designating a superseding registered office address. Until this occurs, the old address is continued in effect for purposes of venue and official publication. G. This form and all accompanying documents shall be mailed to the address stated above. American LegalNet, Inc. www.FormsWorkFlow.com
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