Fillable CHANGE OR DESIGNATION OF RESIDENT AGENT AND/OR REGISTERED

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CHANGE OR DESIGNATION OF RESIDENT AGENT AND/OR REGISTERED

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CHANGE OR DESIGNATION OF
RESIDENT AGENT AND/OR
REGISTERED OFFICE AND/OR
PRINCIPAL OFFICE
(MUSCOGEE (CREEK) NATION LLC)
TO: MUSCOGEE (CREEK) NATION SECRETARY OF THE NATION
P.O.
Box 580
Okmulgee, OK 74447
(918) 549-2607
The undersigned manager, for the purpose of changing the resident agent and/or registered office and/or
principal office of a Muscogee (Creek) Nation limited liability company pursuant to Title 3, Section 2010.B.,
hereby executes the following statement authorizing such change:
1. The name of the limited liability company is:
_____________________________________________________________________________________
2. The name of the resident agent for service of process in the Muscogee (Creek) Nation is:
______________________________________________________________________________________
3. The street address of the resident agent for service of process in the Muscogee (Creek) Nation is:
_____________________________________________________________________________________
Street Address City County Zip Code
(P.O. BOXES ARE NOT ACCEPTABLE)
4. The street address of the principal office, wherever located:
_____________________________________________________________________________________
Street address City State Zip Code
Dated:______________________
__________________________________________
Signature
__________________________________________
Type or Print Name
(List title, if applicable)
FILING FEE: $25.00
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CHANGE OR DESIGNATION OF RESIDENT AGENT ANDOR REGISTERED

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Completed 1 February 2022

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