Connecticut LLP Change Registered Agent Form

If a limited liability partnership in the State of Connecticut wishes to change their registered agent, this form needs to be filled in order to make that agent change legally registered. A $50 filing fee is to be sent along with the form.

Extracted Text for Proper Search

CHANGE OF AGENT 
DOMESTIC (DOMESTIC=FORMED IN CONNECTICUT) 
ALL ENTITES 
C.G.S. §§ 33-661; 33-1051; 34-13b; 34-104; 34-408; 34-507	
SECRETARY OF THE STATE OF CONNECTICUT 
MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. \
BOX 150470, HARTFORD, CT 06115-0470 
DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 T\
RINITY STREET, HARTFORD, CT 06106  
PHONE: 	
860-509-6003  	WEBSITE: 	www.concord-sots.ct.gov
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS I\
F NECESSARY.	
ADDRESS:
CITY:
STATE: ZIP:
FILING PARTY 	(CONFIRMATION WILL BE SENT TO THIS ADDRESS)	:	
NAME:	
FILING FEE: $50 
EXCEPTION: $20.00 FILING FEE FOR 
NONSTOCK (NONPROFIT) CORPORATIONS 
& LIMITED PARTNERSHIPS. 
MAKE CHECKS PAYABLE TO "SECRETARY 
OF THE STATE" 
 	
1. NAME OF ENTITY - REQUIRED: 	(MUST MATCH OUR RECORDS EXACTLY. INCLUDE BUSINESS DESIGNATION I.E. L.L.\
C., LLC, 
INC, ETC.):	
   2. APPOINTMENT OF NEW AGENT: 	(COMPLETE A OR B, NOT BOTH)	 
 
 	
PAGE 1 OF 2 FORM ACD-1-1.0 
Rev. 11/23/2010
PRINT OR TYPE FULL LEGAL NAME:	
A. IF AGENT IS AN INDIVIDUAL:
 CONNECTICUT RESIDENCE ADDRESS 	
(P.O.BOX UNACCEPTABLE)
ADDRESS:
CITY: ZIP:
STATE:
STATE: ZIP:
CITY: ADDRESS:	
BUSINESS ADDRESS  	(P.O.BOX UNACCEPTABLE) 
IF NONE, MUST STATE “NONE”	
PRINT OR TYPE NAME OF BUSINESS AS IT APPEARS ON OUR RECORDS:	
B. IF AGENT BUSINESS:	
SIGNATURE ACCEPTING APPOINTMENT:	
ZIP:
STATE: CITY: ADDRESS:	
CT BUSINESS ADDRESS  	(P.O.BOX UNACCEPTABLE)

PAGE 2 OF 2FORM AC-1-1.0 
Rev. 11/23/2010
  3. EXECUTION: 	(SUBJECT TO PENALTY OF FALSE STATEMENT)	
NAME OF SIGNATORY 
(print/type)	CAPACITY/TITLE OF SIGNATORY   	SIGNATURE  	
DATED THIS	DAY	, 20
PRINT NAME & TITLE: SIGNATURE ACCEPTING APPOINTMENT ON BEHALF OF AGENT:

INSTRUCTIONS 
   
  1. Name of entity: Please provide the complete name of the business entity, as it appears \
on the records of The     
   Secretary of the State. Include business designation (i.e. LLC, Inc,\
 etc.) (MUST MATCH OUR RECORDS EXACTLY) 
 
2. Appointment of new agent: The business entity may appoint either:  
    A. Any individual who is a resident of Connecticut, including a prin\
cipal of the business entity. (An individual must    
        provide the complete street address of his or her business and a\
 Connecticut residence address,  If none, MUST   
        state “NONE” ) 
 
                                                                        \
                            or 
 
B. Any of the following business types, on record with this office:  
      • A Connecticut corporation, limited liability company, limited\
 liability partnership or statutory trust 
      • A foreign corporation, limited liability company, limited lia\
bility partnership or statutory trust, which has obtained a  
        certificate of authority to transact business in Connecticut and\
 has a Connecticut address on file with this office 
      • The business must provide a Connecticut business address in B\
ox 2B. 
      • Print the name & title under the signature of the individual \
signing acceptance on behalf of the business agent. 
 
NOTE: The entity may NOT appoint itself as its registered agent.  
  
3. Execution: The document must be executed/signed by an authorized official of the bu\
siness entity. That person must 
    print or type his or her full legal name, state the capacity/title u\
nder which he/she signs and provide his/her signature.  
    The execution constitutes a legal statement under the penalties of f\
alse statement that the information provided in the 
    document is true. 
  
  
  
OFFICE OF THE SECRETARY OF THE STATE 
  
MAILING ADDRESS: 
COMMERCIAL RECORDING DIVISION 
CONNECTICUT SECRETARY OF THE STATE 
P.O. BOX 150470 
HARTFORD, CT 06115-0470 
  
DELIVERY ADDRESS: 
COMMERCIAL RECORDING DIVISION 
CONNECTICUT SECRETARY OF THE STATE 
30 TRINITY STREET 
HARTFORD, CT 06106 
  
PHONE: 860-509-6003     
  
WEBSITE:  www.concord-sots.ct.gov
FORM ACD-1-1.0 
Rev. 11/23/2010	
DO NOT SCAN THIS PAGE	INSTRUCTIONS