Statement Of Change Of Registered Office Or Registered Agent Or Both
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Statement Of Change Of Registered Office Or Registered Agent Or Both Form. This is a Kentucky form and can be use in Corporation Secretary Of State.
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Kentucky Secretary of State
TREY GRAYSON
_______________________________________________________________________________________________________________
Division of Corporations
BUSINESS FILINGS
Statement of Change of
Registered Office, Registered Agent or Both
SRC
P.O. Box 718
Frankfort, KY 40602
(502) 564-2848
http://www.sos.ky.gov/
_______________________________________________________________________________________________________________
Pursuant to the provisions of KRS Chapter 362, the undersigned hereby applies to change the registered office
or registered agent, or both on behalf of:
_________________________________________________________________________________________________________
(Exact name of partnership)
Which is organized in the state or country of
following statements:
1.
_________________________,
The name of the current registered agent:
_____________________________________________________
3.
and for that purpose submits the
2. Agent is hereby changed to:
_____________________________________________________
Address of current Registered Office:
4. Registered Office address is hereby changed to:
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
(The street address of the registered office and the business office of the registered agent, as changed, will be
identical.)
5.
Signature of Manager or Member or Partner:
_____________________________________________________
(Signature)
_____________________________________________________
(Type or Print Name)
Date:
____________________________________________________
(Day/Month/Year)
(Day/Month/Year)
6.
Consent of New Agent:
I, _________________________________________________________, consent to serve as the registered agent on behalf
of this partnership.
_______________________________________________________
(Registered Agent Signature)
_______________________________________________________
(Print or Type Name)
Instructions:
Submit this form with one (1) exact or conformed copy.
The filing fee is $10.00.
Please make check payable to the “Kentucky State Treasurer.”
All information must be completed or this document will not be accepted for filing.
SRC (07/2006)
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