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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 Foreign Business Trust Secretary Of State.
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Tags: Statement Of Change Of Registered Office Or Registered Agent Or Both, FBT-101, Kentucky Secretary Of State, Foreign Business Trust
COMMONWEALTH OF KENTUCKY
TREY GRAYSON
SECRETARY OF STATE
STATEMENT OF CHANGE OF REGISTERED OFFICE
OR REGISTERED AGENT OR BOTH
Pursuant to the provisions of KRS Chapter 386, the undersigned hereby applies to change the registered office or
registered agent, or both on behalf of the business trust named below and for that purpose submits the following
statements:
1. The name of the business trust is
_____________________________________________________________________________________________.
(Exact name of business trust)
2. The state or country or establishment is _____________________________________________________________.
3. The street address of the current registered office on file with the Secretary of State is
_____________________________________________________________________________________________.
Street
City/State
Zip Code
4. The street address of the registered office is hereby changed to
_____________________________________________________________________________________________.
Street
City/State
Zip Code
5. The name of the current registered agent on file with the Secretary of State is
_____________________________________________________________________________________________.
6. The name of the registered agent is hereby changed to
______________________________________________________________________________________________.
7. The street address of the registered office and the business office of the registered agent, as changed, is identical.
_____________________________________________
Signature
_____________________________________________
Type or Print Name & Title
Date: _____________________________, 20_________
I, ______________________________________ consent to serve as the registered agent on behalf of the business trust.
Type or print name of registered agent
_______________________________________________
Signature of Registered Agent
_______________________________________________
Type or Print Name & Title, if applicable
FBT-101 (2/98)
(See attached sheet for instructions)
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Statement of Change of Registered Office or Registered Agent or Both Filing Instructions
NAME OF BUSINESS TRUST
Use the exact name of the business trust as filed with the Secretary of State.
REGISTERED OFFICE ADDRESS
State the complete address of the current registered office on file with the Secretary of State.
If the current registered office address is being changed, state the complete street address as changed. The registered
office address must be a Kentucky address and contain a street or other specific location. (Highway, Rural Route,
Apartment, Public Building, etc.) A mailing address consisting of only a post office box is not sufficient for the registered
office address.
REGISTERED AGENT AND CONSENT OF APPOINTED REGISTERED AGENT
State the name of the current registered agent on file with the Secretary of State.
If the current registered agent is being changed, state the name of the individual or corporation as changed. The
registered agent may be an individual resident of Kentucky, a Kentucky corporation, a Kentucky nonprofit corporation or
a foreign corporation, or a foreign nonprofit corporation authorized to transact business in Kentucky.
The appointed registered agent must give written consent to act as agent and, if a corporation (foreign or domestic) is
the newly appointed agent, the corporate representative must state his or her title or the capacity in which he or she
signs.
WHO MAY SIGN
The statement of change of registered office or registered agent or both must be signed by a trustee.
NUMBER OF COPIES
Submit the original signed statement and two exact or conformed copies. (May be photocopies). Two file-stamped
copies will be returned to the business trust as evidence of filing. One file-stamped copy must then be filed with the
county clerk of the county in which the business trust’s registered office is situated.
FILING FEES
The filing fee is $15.00.
Your check should be made payable to “Kentucky State Treasurer.”
MAILING ADDRESS
Trey Grayson
Secretary of State
P. O. Box 718
Frankfort, KY 40602-0718
OFFICE LOCATION
Room 154, Capitol Building
700 Capital Avenue
Frankfort, KY 40601
WEB SITE ADDRESS
Our home page address is: //www.sos.state.ky.us
Click on “On Line Business Database” for information on status of all business entities in Kentucky. Forms are also
available on our web site.
For more information, please call (502) 564-2848, press 2, and then press 5 or try our web site.
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www.USCourtForms.com