LP Statement Of Change Of Registered Office Agent Or Both {INHS04}

COVER LETTER TO: Registration Section Division of Corporations SUBJECT: (Name of Limited Partnership or Limited Liability Limited Partnership) DOCUMENT NUMBER: The enclosed Statement of Change of Registered Office and/or Registered Agent and fee(s) are submitted for filing. Please return all correspondence concerning this matter to: (Contact Person) (Firm/Company) (Address) (City, State and Zip Code) For further information concerning this matter, please call: at ( (Name of Contact Person) ) (Area Code and Daytime Telephone Number) Enclosed is a $35.00 check made payable to the Florida Department of State. STREET ADDRESS: Registration Section Division of Corporations Clifton Building 2661 Executive Center Circle Tallahassee, FL 32301 INHS04 (01/06) MAILING ADDRESS: Registration Section Division of Corporations P. O. Box 6327 Tallahassee, FL 32314 American LegalNet, Inc. www.USCourtForms.com LIMITED PARTNERSHIP OR LIMITED LIABILITY LIMITED PARTNERSHIP STATEMENT OF CHANGE OF REGISTERED OFFICE OR REGISTERED AGENT, OR BOTH Pursuant to the provisions of section 620.1115, Florida Statutes, the undersigned limited partnership or limited liability limited partnership submits the following statement in order to change its registered office or registered agent, or both, in the state of Florida. 1. Name of Limited Partnership or Limited Liability Limited Partnership 2. Date of filing/registration in Florida 3. Florida document number 4. The name of the registered agent and the registered office address as shown on the records of the Florida Department of State: Name Address City, State and Zip 5. The name and Florida street address of the new registered agent and/or office: Name Florida street address (P.O. Box not acceptable) FL City, State and Zip 6. Such change(s) is/are effective when filed by the Florida Department of State. Signature of General Partner I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relative to the proper and complete performance of my duties, and I am familiar with an accept the obligations of my position as registered agent. Signature of Registered Agent Filing Fee: $35.00 Certified Copy (optional): $52.50 American LegalNet, Inc. www.USCourtForms.com