Change Of Statutory Agent'S Address - Domestic Or Foreign Limited Liability Company Form - Connecticut Secretary Of The State
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1
2CHANGE OF STATUTORY AGENT'S ADDRESS
DOMESTIC OR FOREIGN LIMITED LIABILITY COMPANY
Office of the Secretary of the State
MAILING ADDRESS:
DELIVERY ADDRESS:
Commercial Recording Division
Commercial Recording Division
Connecticut Secretary of the State
Connecticut Secretary of the State
P.O. Box 150470
30 Trinity Street
Hartford, CT 06115-0470
Hartford, CT 06106
860-509-6003
860-509-6003
Space For Office Use Only
Filing Fee: $25.00
Make Checks Payable To “Secretary of the State”
1. NAME OF LIMITED LIABILITY COMPANY
CURRENT AGENT NAME AND NEW ADDRESS
Business address: (complete address only, P.O.
2.
Print or type name of agent:
Box is not acceptable)
Residence address: (complete address only,
P.O. Box is not acceptable)
3. EXECUTION
Dated this _________________day of ____________________, 20_____.
Print or type name of agent
Signature of agent
Revised 11/2007
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