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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 Limited Liability Company Secretary Of State.
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Tags: Statement Of Change Of Registered Office Or Registered Agent Or Both, RAC, Kentucky Secretary Of State, Limited Liability Company
COMMONWEALTH OF KENTUCKY
TREY GRAYSON, SECRETARY OF STATE
____________________________________________________________________________________________________________
Division of Corporations
Business Filings
PO Box 718
Frankfort, KY 40602
(502) 564-3490
www.sos.ky.gov
Statement of Change of Registered Office
or Registered Agent or Both
RAC
________________________________________________________________________________
Pursuant to the provisions of KRS Chapter 271B, 273, 275, or 362, the undersigned hereby applies to
change the registered office of registered agent, or both on behalf of:
_____________________________________________________________________________
(The name must be identical to the name on record with the Secretary of State.)
which is organized in the state of ______________, and for that purpose submits the following statements:
1. Name of current registered agent:
2. Registered agent is hereby changed to:
__________________________________
___________________________________
3. Address of current registered office:
4. Registered office 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 officer, chairman of the board
member, manager, or partner
_________________________________
Signature and title
_________________________________
Type or print name and title
_________________________________
Date
6. Consent of registered agent
I consent to serve as the registered agent on behalf of
this entity:
_________________________________
Signature of registered agent
_________________________________
Date
(09/09)
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FILING INSTRUCTIONS
STATEMENT OF CHANGE OF REGISTERED OFFICE, REGISTERED AGENT OR BOTH
NAME
Use the exact name of the business entity as registered on file with the Office of the Secretary of State.
REGISTERED OFFICE AND REGISTERED AGENT
The registered office of the limited partnership must be in Kentucky and maintain street address or other specific location
(Highway, Rural Route, Building etc.) A post office box is insufficient for the registered office address. The registered
agent shall be an individual resident of this Commonwealth, a Kentucky corporation, a Kentucky nonprofit corporation, a
Kentucky limited liability company, a foreign corporation, a foreign nonprofit corporation, a foreign limited liability
authorized to transact business in Kentucky. The company seeking formation shall not act as its own registered agent.
The registered agents address must be identical with the registered office.
CONSENT OF REGISTERED AGENT
The registered agent must give written consent to act as agent on behalf of the business entity. If the registered agent is
a corporation an officer or the chairman of the board of directors must sign on behalf of the corporation. If the registered
agent is a limited liability company and management of the company is vested in one or more managers, a manager
must sign on behalf of the limited liability company. If management of the company is vested in its members, a member
must sign. The person signing on behalf of the business entity acting as agent must designate the title or capacity in
which he or she signs.
DOCUMENT DELIVERY
All documents will be sent to the return address on the outer envelope. If no address is found, the documents will be sent
to the principal office. If the applicant wishes for correspondence from the Office of the Secretary of State to be sent to
someone other than those above, a request must be submitted in writing affirming that request. All other communication
and notification shall follow the process prescribed in Kentucky Revised Statute.
WHO MAY SIGN
The document must be signed by an officer, chairman of the board, member, manager or a partner.
NUMBER OF COPIES
When filing online with the FastTrack system, no copies are required. If filing via mail or in person, one exact copy of the
document with the filing fee must be submitted to the address below. To make a copy of the filing for delivery to the local
county clerkâs office, visit www.sos.ky.gov and print a copy from the organization search tool.
FILING FEE
The filing fee for this document is $10.00 for profit corporations, limited liability companies, limited partnerships, and
limited liability partnerships and $5.00 for non-profit corporations. Checks should be made payable to the "Kentucky
State Treasurer."
MAILING ADDRESS
Trey Grayson
Office of the Secretary of State
P. O. Box 718
Frankfort, KY 40602-0718
OFFICE LOCATION
Room 154, Capitol Building
700 Capital Avenue
Frankfort, KY 40601
Hours of Operation: 8:00 AM-4:30 PM ET
CONTACT INFORMATION
If you have any questions, please feel free to visit our website at www.sos.ky.gov or call 502-564-3490.
(09/09)
American LegalNet, Inc.
www.FormsWorkFlow.com