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Mail all forms and required payments to: Department of Consumer and Regulatory Affairs Corporations Division PO Box 92300 Washington, DC 20090 Phone: (202) 442 - 44 32 Corporate Online Services Information: Many corporate filings are available by using CorpOnline Service. Go to CorpOnline site at https://corp online .dcra.dc.gov , create the profile, access the online services main page and proceed. Online filers must pay by using the credit card. District of Columbia Government Corporations Division Statement of Change of Registered Agent Form RA - 3 Ver. 3 , April 2018 . A statement of change appointing a new registered agent shall be an affirmation under 247 29 - 102.09 by the represented entity that the agent has consented to serve. A statement of change shall be effective on delivery of this statement for filing. Registered agent address must be the physical street address within the District of Columbia. ENTITY TYPE FILING F E E Domestic or Foreign Filing Entity Refer to Corporate Fee Schedule posted online. Under the provisions of the Title 29 of D.C. Code (Business Organizations Act), the following domestic or foreign filing entity is in the process of changing the registered agent on record and for that purpose submits the statement below. 1.Domestic or Foreign Filing Entity Name. 2.Name of the Current Registered Agent . 2A. Current Registered Agent Address in DC . 3.Name of New Registered Agent. 3 A . New Registered Agent Address in DC. If you sign this form you agree that anyone who makes a false statement can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC 247 22 - 2405; 4 .Name of the Governor or Authorized Person. 4A . Signature of the Governor or Authorized Person. American LegalNet, Inc. www.FormsWorkFlow.com