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Statement Of Change Of Registered Agent By Corporation Form. This is a Rhode Island form and can be use in Business Corporation Secretary Of State.
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Tags: Statement Of Change Of Registered Agent By Corporation, 640, Rhode Island Secretary Of State, Business Corporation
Filing Fee: $20.00
ID Number:
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
Office of the Secretary of State
Corporations Division
148 W. River Street
Providence, Rhode Island 02904-2615
BUSINESS CORPORATION
____________
STATEMENT OF CHANGE OF REGISTERED AGENT
BY THE CORPORATION
Pursuant to the provisions of Sections 7-1.2-502 or 7-1.2-1409 of the General Laws of Rhode Island, 1956, as amended,
the undersigned corporation submits the following statement for the purpose of changing its registered agent and its
registered office in the state of Rhode Island:
1. The name of the corporation is
2. The address of the registered office as PRESENTLY shown in the corporate records on file with the Rhode Island
Secretary of State is:
3. The address of the NEW registered office is:
4. The name of the registered agent as PRESENTLY shown in the corporate records on file with the Rhode Island
Secretary of State is:
5. The name of the NEW registered agent is:
6. The appointment of a new registered agent and the new registered office, as the case may be, shall become effective
upon the filing of this statement, or on
(a date not prior to, nor more than 30 days after, filing this statement)
Under penalty of perjury, I declare and affirm that I have
examined this Statement of Change of Registered Agent by the
Corporation, including any accompanying attachments, and that
all statements contained herein are true and correct.
Date:
Signature of Authorized Officer of the Corporation
Type or Print Name of Authorized Officer
Form No. 640
Revised: 12/05
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INSTRUCTIONS FOR FILING
1. Prior to submitting the Statement of Change of Registered Agent for filing, it is recommended that you call the
Corporations Division at (401) 222-3040 to verify that the information required in items 2 and 4 of the preceding form
currently appears in the corporate records of the Secretary of State. If the information is inconsistent with the records
of this office, the Statement of Change of Registered Agent will be returned.
2. It is required by law to provide a street address in item 3 of the preceding form in order to provide the public with
notice of a physical location at which process, notice or demand required or permitted by law may be served on the
registered agent. A Statement of Change of Registered Agent submitted with a post office box address only will not
be accepted for filing.
3. The effective date of the Statement of Change of Registered Agent shall be the date of filing with the Secretary of
State or upon such later date not more than thirty (30) days after such filing, as may be set forth in item 6 of the
statement.
4. The Statement of Change of Registered Agent must be signed on behalf of the corporation by an authorized officer.
5. The fee for filing the Statement of Change of Registered Agent by the Corporation is $20.00, and payment should be
made payable to the Rhode Island Secretary of State.
NOTE: If a registered agent changes the agent’s business address to another place within the state, the
agent may change the address and the address of the registered office of any corporation of which the agent
is a registered agent by completing the statement below instead of the preceding form, and submitting same
for filing, without fee. Again, it is recommended that you call the Corporations Division prior to submitting
the statement to verify that the information required in item 2 below currently appears in the corporate
records of the Secretary of State. As required by law, you must provide a street address in item 3 below.
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No Filing Fee
ID Number:
STATEMENT OF CHANGE OF REGISTERED OFFICE
BY THE REGISTERED AGENT
Pursuant to the provisions of Sections 7-1.2-502(d) or 7-1.2-1409(d) of the General Laws of Rhode Island, 1956, as
amended, the undersigned registered agent submits the following statement for the purpose of changing the agent’s
business address and the address of the registered office of the corporation named herein to another place within the
state:
1. The name of the corporation is
2. The address of the registered office as PRESENTLY shown in the corporate records on file with the Rhode Island
Secretary of State is:
3. The address of the NEW registered office is:
4. The change of address of the registered office shall become effective upon the filing of this statement, or on
(a date not prior to, nor more than 30 days after, filing this statement)
5. A copy of this Statement has been mailed to the corporation.
Date:
Type or Print Name of Registered Agent
Signature of Registered Agent
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