Arizona LLC Change of Business Address Form

If there has been a change in either the LLC’s business location or its statutory agent’s location, the State must be notified through the filing of the accomplished version of this form.Download

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DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY. 
LLC STATEMENT OF CHANGE 
OF KNOWN PLACE OF BUSINESS ADDRESS OR STATUTORY AGENT  	
L020i 	
NOTE  – 	no matter what is being changed, numbers 1, 2, 3.1, 4.1, and 4.2 must be\
 completed.  
The form will be rejected if those sections are not completed.
1.  ENTITY NAME –  give the exact name of the LLC as currently shown in A.C.C. records: 
________________________________________________________________________\
_______ 
2.  A.C.C. FILE NUMBER:
 ____________________________________________________________ 	
Find the A.C.C. file number on the upper corner of filed documents OR on\
 our website at:  http://www.azcc.gov/Divisions/Corporations	
3.ARIZONA KNOWN PLACE OF BUSINESS ADDRESS:  
3.1 REQUIRED
 – list the known place of  
       business address currently shown in A.C.C. 
       records (before any changes):  3.2   
Optional
- List the NEW known place of  
        business address in Arizona (must be a  
        street or physical address): 
Attention (optional)  Attention (optional) 
Address 1 Address 1 
Address 2 (optional) Address 2 (optional) 
City 
State Zip  City 
State 
Zip 
3.3   If you completed 3.2 , is the NEW known place of business address in Arizona the same as  
        the street address of the statutory agent?    Yes   No   
L020.001                       Arizona Corporation Commission – Corporations Di\
vision 
Rev: 2010                                 Page 1 of 3 	
Read the Instructions	
4. 	CURRENT OR EXISTING	 STATUTORY AGENT – list the name and addresses of the  
statutory agent as shown in the records of the Arizona Corporation Commi\
ssion  before any 
changes  (this is the existing statutory agent): 
4.1  REQUIRED 
– list the 
name and 
physical 
          or street address  (not a P.O. Box) in  
         Arizona of the existing statutory agent:  4.2   
REQUIRED
 – list the 
mailing address
       (if one exists in A.C.C. records) in Arizona  
       of the existing Statutory Agent: 	
Statutory Agent Name 
Attention (optional)  Attention (optional) 
Address 1 Address 1 
Address 2 (optional) Address 2 (optional) 
City State Zip  City  State Zip

4.3	CHANGE IN EXISTING STATUTORY AGENT NAME ONLY – if the 
name only  of  
the existing statutory agent listed in number 5.1 above has changed, but\
 a new 
agent has not been appointed, check the box and give the new name of the\
 
existing statutory agent below: 
__________________________________________________________________ 
4.4 CHANGE IN EXISTING STATUTORY AGENT ADDRESS –  check all that apply 
and follow instructions: 	
STREET ADDRESS CHANGED –  complete number 4.5. 
MAILING ADDRESS CHANGED –  complete number 4.6. 
4.5   NEW STREET ADDRESS –  give the NEW 
        physical or street address (not a P.O. Box) 
        in Arizona of the existing statutory agent: 4.6   NEW MAILING ADDRESS
 – give the NEW 
        mailing address in Arizona of the existing  
        statutory agent (can be a P.O. Box): 	
Attention (optional)  Attention (optional) 
Address 1 Address 1 
Address 2 (optional) Address 2 (optional) 
City State 
Zip  City 
State Zip 
L020.001 
                     Arizona Corporation Commission – Corporations Di\
vision 
Rev: 2010                                 Page 2 of 3 
5.   	NEW	 STATUTORY AGENT – if a new statutory agent is being appointed, check the box  
            and complete the following for the  NEW statutory agent:	
5.1   REQUIRED
 – give the name (can be an 
        individual or an entity) and physical or 
        street address (not a P.O. Box) in Arizona  
        of the NEW statutory agent: 5.2   
OPTIONAL
 – mailing address in Arizona of 
        NEW Statutory Agent (can be a P.O. Box): 
Statutory Agent Name 
Attention (optional)  Attention (optional) 
Address 1 Address 1 
Address 2 (optional) Address 2 (optional) 
City 
State 
Zip  City 
State Zip 
5.3    
REQUIRED
 – if you are appointing a new statutory agent, the  Statutory Agent Acceptance	 
form M002 must be submitted along with this Statement of Change form.

L020.001                      Arizona Corporation Commission – Corporations Di\
vision 
Rev: 2010                                 Page 3 of 3 
SIGNATURE – see Instructions L020i	 for who is authorized to make changes:
If the person signing this form is the existing statutory agent changing\
 its own address, then by the 
signature appearing below, the existing statutory agent certifies  under penalty of perjury that he or 
she has given the LLC named in number 1 above written notice of the addr\
ess change. 	
 I ACCEPT 	
Signature                                          Printed Name Date 
REQUIRED – check only one and fill in the corresponding blank if signing for \
an entity: 	
I am the individual 
Manager of  
        this manager-managed LLC  or I  
        am signing for an  entity  
        manager named:  I am a 
Member  of this member-
managed LLC  or I am signing for an 
entity member named: I am a 
Statutory Agent
changing only my own address  
and/or my own name. 	
Filing Fee:  $5.00 (regular processing) 
Expedited processing – add $35.00 to filing fee.  
All fees are nonrefundable - see Instructions.        Mail:     Arizona Corporation Commission - Corporate Filings Section 
            1300 W. Washington St., Phoenix, Arizona  85007 
Fax:      602-542-4100 
Please be advised that A.C.C. forms reflect only the 
minimum provisions required by statute.  You should seek private legal counsel \
for those matters that may pertain 
to the individual needs of your business. 
All documents filed with the Arizona Corporation Commission are  public record and are open for public inspection.  
If you have questions after reading the Instructions, please call 602-54\
2-3026 or (within Arizona only) 800-345-5819.	
By checking the box marked "I accept" below, I acknowledge  under penalty of perjury 
that this document together with any attachments is submitted in complia\
nce with 
Arizona law.