Instructions for Form L-122
CERTIFICATE OF CHANGE OF REGISTERED AGENT/ADDRESS OR BOTH,
For LIMITED LIABILITY COMPANIES
STATUTORY FEE: $25
The MANDATORY fields are:
List the name and ten-digit business ID as they appear on the records of the State
Prior Agent Name
List the current agent name as it appears on the records of the State Treasurer.
Prior Agent Office
List the current agent office as it appears on the records of the State Treasurer.
New Agent Name
If you are changing the registered agent, list the new name; otherwise, leave this field
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.
Have an authorized representative or the 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