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Domestic Change Of Registered Agent And Or Office (Domestic Non Profit Corp) - Nebraska

Domestic Change Of Registered Agent And Or Office (Domestic Non Profit Corp) Form. This is a Nebraska form and can be used in Corporation Secretary Of State .
 Fillable pdf Last Modified 11/7/2008
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DOMESTIC CHANGE OF REGISTERED AGENT and/or OFFICE NON-PROFIT CORPORATIONS Submit in Duplicate John A. Gale, Secretary of State Room 1301 State Capitol, P.O. Box 94608 Lincoln, NE 68509 The following corporation, pursuant to the laws of the state of Nebraska, does hereby wish to change its Registered Agent and/or Registered Office. Name of Corporation__________________________________________________________ Previous: Registered Agent: __________________________________________________________ Registered Office: ________________________________________NE________________ Street Address City Zip New: Registered Agent: ___________________________________________________________ Registered Office*: _________________________________________NE_______________ Street Address City Zip * The street address of the registered office and the street address of the registered agent must be identical. DATED___________________________ ___________________________________ Signature ___________________________________ Printed Name/Title NOTE: Every filing must be signed by the chairperson of the board of directors, the president, or one of the officers of the corporation. If the corporation has not yet been formed or directors have not yet been selected, the filing shall be signed by an incorporator. If the corporation is in the hands of a receiver, trustee, or other court appointed fiduciary, the filing shall be signed by that fiduciary. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Registered Agent: Please check A (current agent) or B (new agent) below and sign ____ A. I hereby state that the above named corporation has been notified of the change in address of my registered office. ____B. I hereby consent to act as registered agent for the above named corporation. ___________________________________ Signature of Registered Agent __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ FILING FEE: $10.00 Revised 12/19/2000 Neb. Rev. Stat. 21-1935
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