COVER LETTER
TO: Registration Section
Division of Corporations
SUBJECT:
Name of Limited Partnership or Limited Liability Limited Partnership
DOCUMENT NUMBER:
The enclosed Statement of Change of Registered Office and/or Registered Agent and
fee(s) are submitted for filing.
Please return all correspondence concerning this matter to:
Contact Person
Firm/Company
Address
City, State and Zip Code
E-mail address: (to be used for future annual report notification)
For further information concerning this matter, please call:
at ( )
Name of Contact Person Area Code and Daytime Telephone Number
Enclosed is a $35.00 check made payable to the Florida Department of State.
Mailing Address: Street Address:
Registration Section Registration Section
Division of Corporations Division of Corporations
P.O. Box 6327 The Centre of Tallahassee
Tallahassee, FL 32314 2415 N. Monroe Street, Suite 810
Tallahassee, FL 32303
INHS04 (01/06)
LIMITED PARTNERSHIP OR LIMITED LIABILITY LIMITED PARTNERSHIP
STATEMENT OF CHANGE OF REGISTERED OFFICE OR
REGISTERED AGENT, OR BOTH
Pursuant to the provisions of section 620.1115, Florida Statutes, the undersigned limited
partnership or limited liability limited partnership submits the following statement in order to
change its registered office or registered agent, or both, in the state of Florida.
1.
Name of Limited Partnership or Limited Liability Limited Partnership
2. 3.
Date of filing/registration in Florida Florida document number
4. The name of the registered agent and the registered office address as shown on the records of the Florida
Department of State:
Name
Address
City, State and Zip
5. The name and Florida street address of the new registered agent and/or office:
Name
Florida street address (P.O. Box not acceptable)
FL
City, State and Zip
6. Such change(s) is/are effective when filed by the Florida Department of State.
Signature of General Partner
I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to
comply with the provisions of all statutes relative to the proper and complete performance of my duties,
and I am familiar with an accept the obligations of my position as registered agent.
Signature of Registered Agent
Filing Fee: $35.00
Certified Copy (optional): $52.50