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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