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Iowa Limited Partnership Registered Agent Change Form

In the case of a limited partnership that is registered in the State of Iowa wanting to change its registered agent, the following form has to be completed and submitted. A $5 filing fee has to be submitted along with this form.

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Pur suant to Iow a law , the under signed  subm its  thi s S tate ment to c hange the bu sines s enti ty’s  r egi ster ed o ffic e and /or regi ste red 
agent i n Iowa. Read  th e  in st ru ct io ns  on t he b ack of th is  f orm  be fo re c om plet ing the  in fo rm at ion and  sign ing be lo w.
1 . 	T he n am e	of th e b usin ess e ntity  is	:
2	
. T he a ddre ss	o f th e CUR RENT re gis te re d O FFICE ,as in d ic a te d o n th e S ecre ta ry  o f S tate ’s  r eco rd s is	:  
________________________________________________________________________\
________ ______	
St re et  A dd re ss                     
3.	T he a ddre ss	o f th e N EW re gis te re d O FFICE is :	
________________________________________________________________________\
_________ _____S tr e et A dd re ss                  
4.	T he n am e	of th e CURR ENT re gis te re d  A G ENT as in d ic a te d o n th e S ecre ta ry  o f S tate ’s  r eco rd s is :	
________________________________________________________________________\
_________ _____	(If  m ore  th an o ne A G EN T is  r e gis te re d,  in dic a te  w hic h  o ne is  b ein g r e pla ce d.)	
5 .	T he n am e and email address of the  NEW registered AGENT is:   
__________________________ _____	_______________ _____	
6.	If  th e RE GIS TE R ED  AG ENT  h as c hang ed,  th e NE WRe gis te re d A ge nt m ust s ig n h ere , c onse ntin g to  th eir  
a ppo in tm ent, o ratta ch  th eir  w ritte n c onse nt to  th is  f orm .	
______________ _____	__________________________ __	S ig natu re  o f  N EW Regis te re d A gen t	
Co mple te  O NL Yif  th e Re	g is te re d A gen t c han ges.	
7 . 	If  th e RE GIS TE RE D AG ENT ch anges th e s tree t a ddre ss o f th eir  b usin ess  o ffic e	o n th is  f orm , th e Re gis te re d A gen t 
m ust s ig n here  in dic a tin g t hat NO TICE  of th e c hang e h as b ee n g iv e n t o th e b usin e ss  e ntity .	
                   ________ __________________________ _____	S ig natu re  o f  R egis te re d A gent	
Co mple te  O NL Yif  th e Re gis te re d A gen t c han ges th e s treet a ddre ss  o f th eir  b usin ess  o ffic e .
8.A fte r a ny/a ll  c han ge(s ) a re  m ade, th e s treet a ddre ss o f th e r eg is te re d  o ffic e	a nd  th e s tree t a ddre ss  o f th e b usin ess 	
o ffic e  o fth e r egis te re d a ge nt	w ill  b e id entic a l.	
9 .	S ig natu re  b y a uth oriz e d * r epre se nta tive :	___ _____ _____________________ ____ 	Da te	:_____ ______ ____	*S ee in str u ctio n # 9 o n b ack	
P RINT	Na me a nd T itl e	: ________________________________________ _____	(     	)_______ _	_____ _____	                                                                                                                                    N am e a nd T it le                                                                                                                    T ele phone N um ber	
M ATT  S C H ULT Z
S ecr eta ry  of S ta te	
S ta te  o f  Io w a	 	
STA TE M EN T OF  C H AN GE
OF  REGI STE R ED  OFFI CE
A N D/OR	
R EGI STE R ED  A G EN T	
 	
Email Address
Name City                                                                    \
       State           Zip
City                                                                    \
       State           Zip

INSTRUCT IONS 	FO	R 
STATEMENT  OF CHANGE OF R EGISTE RED O FFICE A ND/OR R EGISTERED A	
GE	NT 	  
All Business Entiti es must s ubmit a St atement of Chan ge form to c hange the Reg iste red  Office  and/or  
Register ed Agent in  Iowa.  
 
It i s im por tant  to  read these  INST RUCTIO NS be fore you f ill out  the  Change form. T he num bers  on these 
instructio ns cor res pond  to the num bering on t he form.  PLEASE PR INT LEG IBLY.  
 
1.  	Print the full  name  of the Busi ness Entity.  Several ty pes of  Business Entiti es use this sam e 
form, so incl ude the su ffix and  pro per punc tuati on.	
 	
 
2.  	 
Pri nt the str eet addre ss, city, s tate a nd zip c ode of the CURRE NT Registered  Office.	 	
3.  	Print the str eet addre ss, city, s tate a nd zip c ode of the NEW  Registered  Office.	 	
 
4.  	 
Print the full  name  of the C URRENT  Registered  Agent.	 	
 
5.  	 
Print the full  name  and  email  address  of  the  NEW  Registered  Agent.	 	
 
6.  	 
The	 NEW Reg	istered	 Agent, if any, must sign, con	sen	ting	 to their appo	intm	ent,	 or atta	ch a 	
 	 	sepa	rate	 written	 con	sent to th	is form. 	
 
7.  	 
If the	 Re	gistered	 Agent	 changes	 the street	 address of the	ir business office, they must NOTIFY the	 	
 	 	bu	siness ent	ity and	 sign, indicating	 that	 NOTICE	 has	 been	 given.	 	
 
8.  	 
Requires	 no 	information.	 Ho	wever, it is a required state	ment,	 and should be u	sed	 as	 a che	ck to 	
 	 	verify that,	 after	 cha	nge	s, the	 street	 add	ress of the	 registered	 office and	 the street	 add	ress of the	 	
 	 	bu	siness office of the	 reg	istered	 age	nt are the	 same. 	
 
9.  	 
Stat	ement of Cha	nge	 form 	shou	ld be 	signed	 as	 follows. It must also state	 the date	 signed,	 the	 person’s	 	
 	 	name, and	 the	 capa	city in wh	ich the	 person	 signe	d. 	
 	 
a. 
 
Profit, Nonp	rofit, and	 Profess	ional	 Co	rporation	s:*  - No fee required.	 	
 	 	By the	 chairperson	 of t	he boa	rd of d	irectors, the	 president,	 or an	other	 officer of t	he corpo	ration. 	
 	 
b. 
 
Limited	 Liability Co	mpan	ies:* - No fee required.	 	
 	 	By an	 authorized	 person.	 	
 	 
c. 
 
Partnerships :*	 - $5.00 fee required.	 	
 	 	By two  or more  partners , a pers on aut ho rized  und er Io wa  Co de ch.  48 6A,  or ot her  law.	 	
 	 
d. 
 
Coo	perative Ass	ociations	 497, 498	 and	 499:*	 - No fee required.	 	
 	 	By the	 ass	ociation’s presiding	 officer of the	 board of d	irectors, or the	 president	 or other	 officer. 	
 	 
e. 
 
Coo	perative Co	rporations	 (501)	 and	 Coo	perative Ass	ociations	 (501A): - No fee required.	 	
 	 	By one	 of the	 coope	rative’s officers. 	* If the Busi ness Entity  is in the  hands of  a receiv er, trustee, o r other court-ap pointed  fiduci ary, by t hat fiduciary.	 	
 
NOTES:  
1.   O ne c opy is to be deliver ed or  fax ed to the Se cretary  of State  for  fili ng.  
2.     T he inform ation	
  you  provi de will  be open  to public inspection  un der  Io wa  Code c hapter  22. 11.  	
 	
SECRET A RY OF 	STAT E 	
Business Ser vices  	Divisio n 	
Lucas Buildi ng, 1st 	Flo or 	
Des  Moi nes, Iowa 	50 319	 	
 	
Pho ne: (515)  	281-5 204	 
Fax:  (515)  	
242-5953	 
 	
 635_011 9 
r ev. 12/12  	W ebsite: sos.iowa.gov
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