Fillable Chang e of an Entitys Registered Agent and (State of Wyoming)

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Chang e of an Entitys Registered Agent and (State of Wyoming)

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The Chang e of an Entitys Registered Agent and (State of Wyoming) form is 3 pages long and contains:

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  • 4 check-boxes
  • 23 other fields

Country of origin: US
File type: PDF

U.S.A. forms for State of Wyoming

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For Office Use Only
Wyoming Secretary of State
Herschler Building East, Suite 101
122 W 25th Street
Cheyenne, WY 82002-0020
Ph. 307.777.7311
Email: Business@wyo.gov
RA-RO ChangeByEntity – Revised August 2019
Chang
e of an Entity’s Registered Agent and Office
This form is used ONLY to change the registered agent from one person/company to a different person/company.
1. Name of the business entity:
2. Name of former registered agent and physical address of former registered office:
(The former registered agent information provided must match exactly with the Secretary of State’s records.)
Former Registered Agent:
Former Registered Office Address:
3. Name of new registered agent and physical Wyoming address of new registered office:
New Registered Agent:
New Registered Physical Office Address (must be located in Wyoming):
New Registered Agent’s Mailing Address:
(To include a PO Box in the address it must have the same zip code as the registered office.)
For
consistency the Secretary of State’s office will only keep one version of the agent’s name
and address on file.
RA-RO ChangeByEntity – Revised August 2019
4. I hereby certify that the new registered office and the registered agent comply with the requirements of W.S. 17-28-
101 through W.S. 17-28-111.
5. The mailing address of my business should be changed to reflect the new registered office address. Yes No
6. The principal address of my business should be changed to reflect the new registered office address. Yes No
7. Once completed the physical address of the registered office and business office of the registered agent will be
identical.
Signature: ______________________________________________ Date:
(Shall be executed by an authorized individual) (mm/dd/yyyy)
Print Name: Contact Person:
Title: Daytime Phone:
Email: (Email provided will receive filing evidence.)
*May list multiple email addresses
Checklist
No Filing Fee
This form must be accompanied by a written consent to appointment executed by the new registered agent.
Please submit one originally signed document.
Please review form prior to submitting to the Secretary of State to ensure all areas have been completed to avoid
a delay in the processing of your documents.
Wyoming Secretary of State
Herschler Building East, Suite 101
122 W 25th Street
Cheyenne, WY 82002-0020
Ph. 307.777.7311
Email: Business@wyo.gov
RAConsent – Revised August 2019
Consent to Appointment by Registered Agent
I, , registered office located at
(name of registered agent)
voluntarily consent to serve
* (registered office physical address, city, state & zip)
as the registered agent for
(name of business entity)
I hereby certify that I am in compliance with the requirements of W.S. 17-28-101 through W.S. 17-28-111.
Signature:__________________________________________ Date:
(Shall be executed by the registered agent.) (mm/dd/yyyy)
Print Name: Daytime Phone:
Title: Email:
Registered Agent Mailing Address
(if different than above):
*If this is a current registered agent changing their registered address on file, complete the following:
Previous Registered Office(s):
I hereby certify that:
After the changes are made, the street address of my registered office and business office will be identical.
This change affects every entity served by me and I have notified each entity of the registered office change.
I certify that the above information is correct and I am in compliance with the requirements of W.S. 17-28-101 through
W.S. 17-28-111.
Signature: __________________________________________ Date:
(Shall be executed by the registered agent.) (mm/dd/yyyy)
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Chang e of an Entitys Registered Agent and (State of Wyoming)

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Completed 4 October 2020

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