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LLC Statement Of Change Of Resident Agent-Resident Office Form. This is a Massachusetts form and can be use in Corporations Division Secretary Of State.
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Tags: LLC Statement Of Change Of Resident Agent-Resident Office, Massachusetts Secretary Of State, Corporations Division
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The Commonwealth of Massachusetts
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Room 1717, Boston, Massachusetts 02108-1512
Limited Liability Company
Statement of Change of
Resident Agent/Resident Office
(General Laws Chapter 156C Section 5A and Section 51)
(1) Exact name of limited liability company:
________________________________________________________________________________________________
(2) Current resident agent office address:
(3) New resident agent office address:
Current resident agent: _________________________________________________________________________________
Resident agent will (check appropriate box):
change to ____________________________________________________________________________________ .
(name of new resident agent)
remain the same.
This certificate is effective at the time and on the date approved by the Division.
Signed by (signature of authorized person): ____________________________________________________________________ ,
on this ___________________________________ day of ______________________________, ______________________ .
Consent of resident agent:
I, __________________________________________________________________________________________________
resident agent of the above limited liability company, consent to my appointment as resident agent pursuant to G.L. Chapter
156C Section 5A and Section 51.
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COMMONWEALTH OF MASSACHUSETTS
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Limited Liability Company
Statement of Change of
Resident Agent/Resident Office
(General Laws Chapter 156C, Section 5A and Section 51)
I hereby certify that upon examination of this statement of change, duly submitted to me, it appears that the provisions of the General Laws relative thereto have
been complied with, and I hereby approve said statement; and the filing fee in the
amount of $ ______ having been paid, said statement is deemed to have been filed
with me this
________________ day of ________________, 20 _____, at _______a.m./p.m.
time
WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth
Filing fee: $25 for paper or fax filings.
No fee if filed electronically.
TO BE FILLED IN BY LIMITED LIABILITY COMPANY
Contact Information:
___________________________________________________________
___________________________________________________________
___________________________________________________________
Telephone: ___________________________________________________
Email: ______________________________________________________
Upon filing, a copy of this filing will be available at www.sec.state.ma.us/cor.
If the document is rejected, a copy of the rejection sheet and rejected document will
be available in the rejected queue.
c156cfdllcagentoffice 09/22/08
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