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Massachusetts LLC Registered Agent Change Form

In the case of a limited liability company that is registered in the State of Massachusetts wanting to change its registered agent, the following form has to be completed and submitted.

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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 Agent/Resident Office	
(General Laws Chapter 156C Section 5A and Section 51)	
 	(1) Exact name of limited liability company:	
________________________________________________________________________\
________________________
 
   	
(2) Current resident agent office address:	
 	(3) New resident agent office address:	
________________________________________________________________________\
_________
 	Current resident agent: 
Resident agent will 	(check appropriate box)	:
	
 change to 	________________________________________________________________________\
____________
 	.	
 	(name of new resident agent)
	
 remain the same.	
This certificate is effective at the time and on the date approved by the Division.	
____________________________________________________________________	,	 	Signed by (signature of authorized person):
on this	___________________________________
 	day of	______________________________
 	, ______________________	.
	
Consent of resident agent:
 
resident agent of the above limited liability company, consent to my appointment as resident agent pursuant to G.L. Chapter 
156C Section 5A and Section 51.
________________________________________________________________________\
__________________________  I,

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 Agent/Resident Office	
(General Laws Chapter 156C, Section 5A and Section 51)	
-	
ted 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 $	
 	
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 submit	 	
________________	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.	
c156cfdllcagentoffice 09/22/08
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