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Change By Agent Of Agent Name And/or Registered Office Address - Alabama Secretary Of State

STATE OF ALABAMA

CHANGE BY AGENT OF AGENT NAME

and/ or REGISTERED OFFICE ADDRESS

PURPOSE: To change a registered agent’s office address by

delivering to the Secretary of State for filing a statement of change in

accordance with 10A-1-5.33. Multiple entity identification (ID)

numbers and corresponding names may be listed on one form for one

fee.

INSTRUCTIONS

OBTAIN

INFORMATION

COMPLETE THIS FORM: You may obtain the Entity ID Number

on our website at

under the Government

Records tab. Click on Business Entity Records, click on Entity Name,

(For SOS Office Use Only)

type the registered name of the entity in the appropriate box, and enter.

The six (6) digit number containing a dash to the left of the name is the

entity ID number (item 1 below). If you click on that number, you can view the Business Entity Details page to determine

that you have located the correct entity. This verification step is strongly recommended – refunds will not be made if you

use the wrong number.

Mail two copies (if you want a stamped copy for your records) of this filing and the $25.00 fee to the Secretary of State,

Business Services Division, PO Box 5616, Montgomery, Alabama, 36103-5616. You may pay by check, money order, or

credit card. You may email one copy to

miscellaneous.filings@sos.alabama.gov

if you are paying with a credit card.

Receipt of filings will only be acknowledge if the email method or registered/courier mail is used; we cannot search and

Your change will not be indexed if the credit card does

acknowledge receipt of filings submitted via regular mail.

not authorize and will be removed if the check is dishonored.

This form must be typed or laser printed.

Fax deliveries will not be processed, acknowledged, or returned.

1. Alabama Entity ID Number (Format: 000-000):

The change will not be processed

without this number.

The name of the entity as registered with the Secretary of State of Alabama:

Multiple entities are involved in this change. A list of the Alabama Entity ID Numbers and registered

entity names is attached.

2. Registered Agent’s current Name (must be completed):

CHANGE Registered Agent’s Name to:

Agent Name/Address Change – 7/2011

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Change By Agent Of Agent Name And/or Registered Office Address - Alabama Secretary Of State