Fillable New Jersey Division of Revenue CERTIFICATE of CHANGE (Northwest Registered Agent)

Fill Online, Printable, Fillable, Blank New Jersey Division of Revenue CERTIFICATE of CHANGE (Northwest Registered Agent) Form

Use Fill to complete blank online NORTHWEST REGISTERED AGENT pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

New Jersey Division of Revenue CERTIFICATE of CHANGE (Northwest Registered Agent)

On average this form takes 3 minutes to complete

The New Jersey Division of Revenue CERTIFICATE of CHANGE (Northwest Registered Agent) form is 1 page long and contains:

  • 0 signatures
  • 0 check-boxes
  • 13 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Northwest Registered Agent forms online.

BROWSE NORTHWEST REGISTERED AGENT FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
C-104G Rev. 7/1/02
New Jersey Division of Revenue
CERTIFICATE of CHANGE of REGISTERED OFFICE
&/or REGISTERED AGENT
(For Use by Domestic and Foreign, Profit and Non-profit Corporations)
CORPORATION NAME:
STATE OF ORIGINAL INCORPORATION:
IMPORTANT - INCLUDE INFORMATION ON BOTH THE PRIOR AND NEW AGENT
PRIOR AGENT NAME: NEW AGENT NAME:
PRIOR AGENT STREET ADDRESS NEW AGENT STREET ADDRESS
CITY STATE ZIP CITY STATE ZIP
NJ
The corporation states that the address of its new registered office and the address of its new registered agent are
identical. Further, the changes designated on this form were authorized by resolution duly adopted by its board of
directors or members.
By Title
(Signature of Officer) (Type)
Date:
NOTE - This form must be executed by the chairman of the board, the president, or the vice president of the
corporation.
FEES: Change of Agent Name-$25.00 MAIL TO: NJ Division of Revenue
Change of Agent Address-$25.00 PO Box 308
Change of Both-$25.00 Trenton, NJ 08646
Make checks payable to: TREASURER, STATE of NEW JERSEY (NO CASH PLEASE)
Rev 7/18/05
Instructions for Form C-104G
CERTIFICATE of CHANGE of REGISTERED OFFICE
and/or REGISTERED AGENT
(Titles 14A, 15A and 42:2A)
***Form C-104G can be used for ALL corporations and limited partnerships***
STATUTORY FEE: $25.00
The MANDATORY fields are:
Business Name
List the name as it appears on the records of the Treasurer.
Prior Agent Name
List the current agent name as it appears on the records of the Treasurer.
Prior Agent Office
List the current agent office as it appears on the records of the Treasurer.
New Agent Name
If you are changing the registered agent, list the new name; otherwise, leave this field
blank.
New Office
If you are changing the registered office, list the new address; otherwise, leave this
field blank. Provide a New Jersey street address. A PO box may be used only if the
street address is listed as well.
ATTESTATIONS
Add statements that indicate: 1) the address of its registered office and the address of
its registered agent will be identical after the change is filed; and 2) the change is made
pursuant to resolution of Board or membership. Form 104G provides these statements.
EXECUTION (DATE/SIGNATURE)
Have the chairman, president, vice-president, or current registered agent sign. Also, list
the date of execution (signature).
* * * * * * * * * *
These documents should be filed in duplicate. Non-profits should file in triplicate.
Make checks payable to: TREASURER, STATE OF NEW JERSEY. (No cash, please)
Mail to: NJ Division of Revenue, PO Box 308, Trenton, NJ 08646
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

New Jersey Division of Revenue CERTIFICATE of CHANGE (Northwest Registered Agent)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 11 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document