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Change By Agent Of Agent Name And/or Registered Office Address - Alabama Secretary Of State Page 3

NOTE: You will only receive a credit card receipt from the Secretary of State’s (S0S)

Office if you included a copy in your by mail submission, are paying for a copy submitted

via the email method, or have expedited processing. SOS office personnel will not be able to

search credit card transactions to help you balance your accounts under any

circumstances.

Secretary of State Credit Card Payment Option Sheet: Check the appropriate boxes.

Alabama Entity ID Number:

(Format: 000-000)

Card Type:

(Visa, MC, Discover & AmEx)

Service Requested:

$25.00 Change of Agent Name/Address filing fee

$3.00 copy fee (if using email, except with expedited processing)

$100.00 Expedited Processing fee *

Card Number:

Expiration Mo/Yr:

(MM/YY)

Card Holder Name:

Complete Billing Address:

Street or PO

City

State

Zip

Signature of Card Holder:

MUST be Signature of Card Holder

*Expedited Processing is available at the Secretary of State’s (SOS) Office for an additional $100.00 fee.

The SOS Office will index a filing within approximately three (3) business days after the date of receipt.

The fee must accompany the filing when it is submitted – we will not be able to search for filings to

match with expedite fees sent separately once they are in the workflow.

Agent Name/Address Change – 7/2011

Change By Agent Of Agent Name And/or Registered Office Address - Alabama Secretary Of State Page 3