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Massachusetts LLC Registered Agent Address Change Form

In the case of an LLC that is registered in the State of Massachusetts wants to modify resident office address of its registered agent, the following form has to be completed and submitted in order to make that modification.

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The Commonwealth of Massachusetts	
William Francis Galvin	
Secretary of the Commonwealth	
One Ashburton Place, Room 1717, Boston, Massachusetts 02108-1512	
DF	
Limited Liability Company	 	
Statement of Change of Resident	 	
Office Address by Resident Agent	
(General Laws Chapter 156C Section 5A and Section 51)	
 	(1) Name of agent:	
________________________________________________________________________\
________________________
 
   	
(2) Exact name of limited liability company:	
________________________________________________________________________\
________________________
 
   	
(3) Current resident agent office address:
(4) New resident agent office address:	 	
I certify that each limited liability company listed herein has been notified in writing of this change as required by G.L. Chapter 
156C Sections 5A and 51.
This certificate is effective at the time and on the date approved by the Division.	
_______________________________________________________________________	, 
Signed by (signature of resident agent):	 	
___________________________________	day of	______________________________	of 	____________________	.
on this

COMMONWEALTH OF MASSACHUSETTS	
William Francis Galvin
Secretary of the Commonwealth	
One Ashburton Place, Boston, Massachusetts 02108-1512	
Limited Liability Company	 	
Statement of Change of Resident 	 	
Office Address by Resident Agent	
(General Laws Chapter 156C Sections 5A and 51)
 	 	
with me this	
______  	having been paid, said statement is deemed to have been filed 
I hereby certify that upon examination of this statement of change, duly submitted 
to me, it appears that the provisions of the General Laws relative thereto have 
been complied with, and I hereby approve said statement; and the filing fee in the 
amount of $	
 	 	 	________________	day of	________________	, 20	_____	, at	_______	a.m./p.m.	
 	time	
WILLIAM FRANCIS GALVIN	
Secretary of the Commonwealth	
Filing fee: $25 for paper or fax filings.	
No fee if filed electronically.	
TO BE FILLED IN BY LIMITED LIABILITY COMPANY	
Contact Information:	
___________________________________________________________
___________________________________________________________
___________________________________________________________
 	
___________________________________________________
 	Telephone:	
______________________________________________________	Email:
Upon filing, a copy of this filing will be available at www.sec.state.ma.us/cor.
If the document is rejected, a copy of the rejection sheet and rejected document will 
be available in the rejected queue.	
c156cdfllcaddress 09/22/08
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