Statement Of Change Of Registered Office Or Registered Agent, Or Both - Idaho Secretary Of State

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STATEMENT OF CHANGE OF REGISTERED OFFICE
OR REGISTERED AGENT, OR BOTH
File #: _______________
The undersigned entity submits the following statement for the purpose of changing its registered office or
its registered agent, or both, in the State of Idaho.
1. The name of the entity is: ___________________________________________________________________
_______________________________________________________________________________________
2. The street address of its present registered office is: _____________________________________________
_______________________________________________________________________________________
3. The street address (not a P.O. box) to which its registered office is to be changed is: ____________________
_______________________________________________________________________________________
4. The name of its old registered agent is: ________________________________________________________
5. The name of its new registered agent is: _______________________________________________________
6. The address of the registered office and the business address of the registered agent are identical.
Dated: ________________________________
Signed:_____________________________________________
Printed:_____________________________________________
Capacity:_____________________________________________
I consent to serve as registered agent
(See reverse for instructions)
for the above-named entity.
(Signature of new registered agent)
Web Form
FILE ONE COPY
NO FEE REQUIRED
g:\corp\forms\miscforms\changeRA_RO.p65

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