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Change Of Agents Address (Domestic Or Foreign All Entities) - Connecticut

Change Of Agents Address (Domestic Or Foreign All Entities) Form. This is a Connecticut form and can be used in General Secretary Of State .
 Fillable pdf Last Modified 12/16/2010
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SECRETARY OF THE STATE OF CONNECTICUT MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470 DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106 PHONE: 860-509-6003 WEBSITE: www.concord-sots.ct.gov CHANGE OF AGENT'S ADDRESS DOMESTIC OR FOREIGN - ALL ENTITIES C.G.S. ยง 33-661; 33-927; 33-1051; 33-1217; 34-13b; 34-38p; 34-243o; 34-243q; 34-408; 34-429; 34-507; 34-532 USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEET(S) IF NECESSARY. FILING PARTY NAME: (CONFIRMATION WILL BE SENT TO THIS ADDRESS): FILING FEE: $50 EXCEPTION: $20.00 FILING FEE FOR NONSTOCK (NONPROFIT) CORPORATIONS & LIMITED PARTNERSHIPS. MAKE CHECKS PAYABLE TO "SECRETARY OF THE STATE" MAILING ADDRESS: CITY: STATE: ZIP: (INCLUDE BUSINESS DESIGNATION I.E., L.L.C., LLC, INC, ETC. MUST MATCH 1. NAME OF BUSINESS ENTITY - REQUIRED: OUR RECORDS EXACTLY) 2. STATE/COUNTRY OF FORMATION IF OTHER THAN CONNECTICUT - REQUIRED: 3. CURRENT AGENT NAME - REQUIRED: BUSINESS ADDRESS: (P.O.BOX UNACCEPTABLE) STREET: CONNECTICUT RESIDENCE ADDRESS: STREET: CITY: STATE: ZIP: CITY: STATE: ZIP: CONNECTICUT MAILING ADDRESS OF REGISTERED AGENT: STREET OR PO BOX: ( REQUIRED FOR LLC'S ONLY ): (P.O.BOX IS ACCEPTABLE) CITY: STATE: (SUBJECT TO PENALTY OF FALSE STATEMENT) ZIP: 4. EXECUTION: DATE (MM/DD/YYYY) NAME OF SIGNATORY (print/type) CAPACITY/TITLE OF SIGNATORY SIGNATURE (required) PAGE 1 OF 1 Rev. 7/2017 American LegalNet, Inc. www.FormsWorkFlow.com CHANGE OF AGENT'S ADDRESS Domestic or Foreign - All Entities Filing Fee: $50.00 [EXCEPTION: $20.00 Filing Fee for Non-Stock (non-Profit) Corporations & Limited Partnerships] Make checks payable to "Secretary of the State" INSTRUCTIONS 1. Name of business entity: Please provide the name of the business entity as it appears on the records of the Secretary of the State. 2. State/Country of formation: Please provide the business entity's state or country of formation. 3. Current agent name and new address information: This form may not be used to appoint a NEW agent. Please provide the name of the CURRENT agent. If the agent is a natural person, provide the complete street address of his or her business and CT residence. (If no business address, MUST state "NONE".) If the agent is a business entity, it must provide the address of its principal office in the block designated for "Business address" and any person signing on its behalf must include his or her title on the signature line. In addition, a Connecticut mailing address is required for Limited Liability Companies only (P.O.BOX is acceptable). 4. Execution: The document must be executed/signed by an authorized official of the business entity. That person must print or type his/her name, state the capacity/title under which he/she signs and provide a signature. The execution constitutes a legal statement under the penalties of false statement that the information provided in the document is true. OFFICE OF THE SECRETARY OF THE STATE MAILING ADDRESS: COMMERCIAL RECORDING DIVISION CONNECTICUT SECRETARY OF THE STATE P.O. BOX 150470 HARTFORD, CT 06115-0470 DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION CONNECTICUT SECRETARY OF THE STATE 30 TRINITY STREET HARTFORD, CT 06106 PHONE: 860-509-6003 WEBSITE: www.concord-sots.ct.gov INSTRUCTIONS DO NOT SCAN THIS PAGE Rev. 7/2017 American LegalNet, Inc. www.FormsWorkFlow.com
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