CHANGE OR DESIGNATION
OF
REGISTERED AGENT AND/OR OFFICE
(FOREIGN CORPORATION)
TO: MUSCOGEE (CREEK) NATION SECRETARY OF THE NATION
P.O.
Box 580
Okmulgee, OK 74447
(918) 549-2607
The undersigned corporation, organized and existing under the laws of the State of _______________, for
purposes of changing or designating its registered agent or its registered office, or both, in the Muscogee
(Creek) Nation, as provided in Section 1133 of the Muscogee (Creek) Nation General Corporation Act hereby
certifies:
1. The name of the corporation is:_____________________________________________________
2. The name of the registered agent and the street address of the registered office in the Muscogee
(Creek) Nation is changed to:
_____________________________________________________________________________________
Name of Agent Street Address City County Zip Code
(P.O. BOXES ARE NOT ACCEPTABLE)
3. All previous appointments of agent for such purposes are hereby revoked.
IN WITNESS WHEREOF, said corporation has caused this certificate to be executed in its name by its
President or Vice President, and attested by its Secretary or Assistant Secretary, this _____ day.
_______________________________________
By its _______President
_______________________________________
(Please Print Name)
Attest:
_____________________________________
By its _______Secretary
_____________________________________
(Please Print Name)
FILING FEE: $25.00
PRINT CLEARLY
