Statement Of Change By Business Entity - Wyoming Secretary Of State
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3Ed Murray
Wyoming Secretary of State
2020 Carey Avenue, Suite 700
For Office Use Only
Cheyenne, WY 82002-0020
Ph. 307.777.7311
Fax 307.777.5339
Email:
Business@wyo.gov
Statement of Change By Business Entity
This form is used ONLY to change the registered agent from one person/company to a different person/company.
1. Name of the business entity:
2. Name of current registered agent and physical address of current registered office:
Current Registered Agent:
Current Registered Office Address:
***The information listed for the current registered agent should match what is on file with the Secretary of State’s office exactly.
3. Name of new registered agent and physical Wyoming address of new registered office (cannot be a PO Box):
New Registered Agent:
For consistency the Secretary of State’s Office will only keep one version of the agent’s name on file.
New Registered Office Address:
New Registered Agent’s PO Box:
The PO Box will only be entered if it is in the same city as the physical address listed above.
4. I hereby certify that the new registered office and the registered agent comply with the requirements of W.S. 17-28-
101 through W.S. 17-28-111.
RA-RO ChangeByEntity – Revised October 2015
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