Secretary of State Office
500 E Capitol Ave
Pierre, SD 57501
(605)773-4845
corpinfo@state.sd.us
COMMERCIAL REGISTERE
D AGENT
CHANGE OF NAME OR ADDRESS
Please Type or Print Clearly in Ink
FILING FEE: $10 per Entity Represented
Payable to
SECRETARY OF STATE
The Commercial
Registered Agent (CRA) identified below submits to the Secretary of State the following change of name
or address.
1. The Commercial Registered Agent CRA# _____________________________________________________________
2. The current CRA name ___________________________________________________________________________
The new CRA name _____________________________________________________________________________
3. The current address on file
______________________________________________________________________________________________
Street Address City State ZIP+4
______________________________________________________________________________________________
Mailing Address (Optional) City State ZIP+4
The new address
______________________________________________________________________________________________
Street Address (Required to be a South Dakota Address) City State ZIP+4
______________________________________________________________________________________________
Mailing Address (Optional – Required to be a South Dakota Address) City State ZIP+4
4. The jurisdiction of organization _____________________________________________________________________
The new jurisdiction _____________________________________________________________________________
5. The type of organization __________________________________________________________________________
New type of organization __________________________________________________________________________
The statement of change shall be signed by or on behalf of the commercial agent.
Dated ____________________________ ______________________________________________
(Signature of an authorized officer)
______________________________________________
(Printed Name)
______________________________________________
(Title)
Statementofchangecomm Jan 2017
Email ____________________________