Fillable ALaskaform - 08-492 Statement of Change FORM

Fill Online, Printable, Fillable, Blank ALaskaform - 08-492 Statement of Change FORM Form

Use Fill to complete blank online NORTHWEST REGISTERED AGENT pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

ALaskaform - 08-492 Statement of Change FORM

On average this form takes 7 minutes to complete

The ALaskaform - 08-492 Statement of Change FORM form is 3 pages long and contains:

  • 0 signatures
  • 1 check-box
  • 27 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Northwest Registered Agent forms online.

BROWSE NORTHWEST REGISTERED AGENT FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
08-492 (Rev. 03/12/2013) Statement of Change Instructions
STATEMENT OF CHANGE
Registered Agent or Registered Agent Address
Domestic Limited Liability Company
AS 10.50.060
Filing Fee: $25.00 (non-refundable)
INSTRUCTIONS (Please retain for your records):
NOTICE: The Statement of Change will not be filed if a biennial is report due or the signatures do not match
what the Corporations Section has on record. Please verify the following before completing the application.
o Have all current biennial reports be filed?
o Are the members/managers up to date on our records?
To verify this information please search for the entity by going to Search Corporations Database in the
Corporations Section of our website at www.commerce.alaska.gov/occ
. If there is a biennial report due, the
report may be filed online by selecting Biennial Reports on the Corporations Section page. If the
members/managers have changed, but no biennial report is due, please submit a Notice of Change located in
the Forms and Fees section.
Pursuant to Alaska Statutes 10.50.060, the entity submits the Statement of Change for the purpose of
changing its registered agent or the registered agent address in the state of Alaska. The registered agent
of the corporation must be an individual who is a resident of Alaska, or a corporation (excluding LLC, LP,
LLP) registered and in good standing with this office. A corporation may not act as its own registered
agent.
ITEM 1: Provide the name of the entity currently on record and the Alaska Entity Number.
ITEM 2: Prior registered agent information.
ITEM 3: New registered agent information.
ITEM 4: Per AS 10.50.060(6), statement that the change was authorized by resolution of the members or
managers.
ITEM 5: The Statement of Change must be signed by a member, manager, or Attorney-in-Fact. Note:
Persons who sign documents filed with the commissioner that are known to the person to be false in material
respects are guilty of a class A misdemeanor.
Mail the Statement of Change and the non-refundable $25.00 filing fee in U.S. dollars to:
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is
approximately 10-15 business days. All applications are reviewed in the date order they are received.
State of Alaska
Division of Corporations, Business and Professional Licensing
CORPORATIONS SECTION
PO Box 110806
Juneau, AK 99811-0806
Phone: (907) 465-2550
Fax: (907) 465-2974
Website: www.commerce.state.ak.us/occ
08-492 (Rev. 03/12/2013) Page 1 of 1
State of Alaska
Division of Corporations, Business and Professional Licensing
CORPORATIONS SECTION
PO Box 110806
Juneau, AK 99811-0806
Phone: (907) 465-2550
Fax: (907) 465-2974
Website: www.commerce.state.ak.us/occ
DO NOT STAMP ABOVE THIS BOX
Office Use Only CORP
STATEMENT OF CHANGE
Registered Agent or Registered Agent Address
Domestic Limited Liability Company
AS 10.50.060
$25.00 Filing Fee (non-refundable)
To ensure a successful filing please read the instructions first and complete all sections. Failure to maintain
complete registered agent information will result in the entity being Non-Compliant.
Pursuant to Alaska Statutes 10.50.060, the following will apply to the registered agent on file with this office:
ITEM 1: Name of the Entity: Alaska Entity #:
ITEM 2: PRIOR registered agent information:
Name:
Physical address: City: AK Zip Code:
Mailing address: City: AK Zip Code:
A registered agent must be a resident of Alaska or a corporation (excluding LLC, LP and LLP) registered and in
good standing with this office. A corporation may not act as its own registered agent.
ITEM 3: NEW
registered agent information (must include a physical and mailing address in Alaska):
Name:
Physical address: City: AK Zip Code:
Mailing address: City: AK Zip Code:
ITEM 4: Authorization per AS 10.50.060(6):
The registered agent change was authorized by a resolution duly adopted by the company. The company is to
keep and make available record of the resolution.
ITEM 5: Required Signature:
The Statement must be signed by a manager, member, or Attorney-in-Fact.
Signature Printed name Title Date
Mail the Statement of Change and the non-refundable $25.00 filing fee in U.S. dollars to:
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is
approximately 10-15 business days. All applications are reviewed in the date order they are received.
The information you submit is a public record and, once filed for record, will be posted on the State’s website.
08-561 (Rev. 02/01/2012) Page 1 of 1
State of Alaska
Division of Corporations, Business and Professional Licensing
CORPORATIONS SECTION
PO Box 110806
Juneau, AK 99811-0806
Phone: (907) 465-2550
Fax: (907) 465-2974
Website: www.commerce.alaska.gov/occ
DO NOT STAMP ABOVE THIS BOX
Office Use Only CORP
CONTACT INFORMATION SHEET
Please return this document with your filing. This information will only be used to resolve questions with the filings
attached. NOTE: this form will not be filed for record or appear online.
Name of entity as it appears on filing:
To resolve questions with this filing, contact:
Name:
Email: Phone:
Mailing address:
Return documents to:
Name:
Company:
Mailing address:
Attach this form to your filings. Send all documents to:
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is
approximately 10-15 business days. All applications are reviewed in the date order they are received.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

ALaskaform - 08-492 Statement of Change FORM

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 3 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document