PENNSYLVANIA DEPARTMENT OF STATE
BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS
Read all instructions prior to completing. This form may be submitted online at https://www.corporations.pa.gov/.
Fee: $5 The type of domestic association (check only one):
Business Corporation Limited Liability Company Limited Liability Limited Partnership
Nonprofit Corporation Limited Partnership
In compliance with the requirements of the applicable provisions of 15 Pa.C.S. § 1507/5507/8625/8825 (relating to
change of registered office), the undersigned domestic corporation, limited liability company, limited partnership or
limited liability limited partnership, desiring to effect a change of registered office, hereby states that:
1. The name of the association is: __________________________________________________________________
2. The current registered office address as on file with the Department of State. Complete part (a) OR (b) – not both:
(a) _________________________________________________________________________________________________
Number and street City State Zip County
(b) c/o: ______________________________________________________________________________________________
Name of Commercial Registered Office Provider County
3. New address. Complete part (a) OR (b) – not both:
(a) The address in this Commonwealth to which the registered office of the corporation, limited partnership, limited
liability limited partnership or limited liability company is to be changed is:
_____________________________________________________________________________________________________
Number and street City State Zip County
(b) The registered office of the corporation, limited partnership, limited liability partnership, limited liability limited
partnership or limited liability company shall be provided by:
c/o: __________________________________________________________________________________________________
Name of Commercial Registered Office Provider County
4. For corporations only: Such change was authorized by the Board of Directors of the corporation.
IN TESTIMONY WHEREOF, the undersigned has caused this Statement or Certificate of Change of Registered Office to
be signed by a duly authorized officer, general partner, member or manager thereof this ______________
day of
___________________________, 20 .
______________________________________________________________
Name of Corporation/Limited Partnership/
Limited Liability Limited Partnership/Limited Liability Company
______________________________________________________________
Signature
______________________________________________________________
Title
Return document by mail to:
Name
Address
City State Zip Code
Return document by email to: _________________________________
DSCB:15-1507/5507/8625/8825Instructions
Pennsylvania Department of State
Bureau of Corporations and Charitable Organizations
P.O. Box 8722
Harrisburg, PA 17105-8722
(717) 787-1057
Website: www.dos.pa.gov/corps
General Information
Typewritten is preferred. If handwritten, the form must be
legible and completed in black or blue-black ink in order to
permit reproduction. The nonrefundable filing fee for this
form is $5.
Checks should be made payable to the Department of State.
Checks must contain a commercially pre-printed name and
address.
This form and all accompanying documents, including any
necessary governmental approvals, shall be mailed to the
address stated above.
Who should file this form?
Every domestic corporation, limited liability company, limited
partnership and limited liability limited partnership shall have
and continuously maintain in this Commonwealth a registered
office. Before a change of location of registered office
becomes effective, the association either shall amend its
organic record to reflect the change in location or shall file in
the Department of State a statement of change of registered
office executed by the association.
This form may be used by a domestic limited partnership
which has registered as a limited liability limited partnership
pursuant to 15 Pa.C.S. § 8201. A domestic general
partnership which has registered as a limited liability
partnership pursuant to 15 Pa.C.S. § 8201 must use form
DSCB:15-8201B (Domestic Registered Limited Liability
Partnership - Statement of Amendment) to amend the address
of its principal place of business. A business trust may change
its registered office location by an amendment of the trust
instrument. See 15 Pa.C.S. § 9504.
This form may not be used by a foreign corporation, foreign
limited liability company, foreign limited partnership or
foreign limited liability partnership to change its registered
office address. A foreign association that desires to reflect a
change in address of registered office, change of name or other
arrangements or facts that have changed must amend its
foreign registration statement by filing form DSCB 15-413
(Amendment of Foreign Registration).
Applicable Law
For registered office requirements, in general, see 15 Pa.C.S.
§§ 1507/5507/8625/8825. Statutes are available on the
Pennsylvania General Assembly website,
www.legis.state.pa.us
, by following the link for Statutes.
Definitions
A registered office is an office maintained by a domestic
filing association or registered foreign association in this
Commonwealth as required by section 1507 (relating to
registered office). A domestic filing association or registered
foreign association shall have and continuously maintain in
this Commonwealth a registered office which may, but need
not, be the same as its place of business.
Form Instructions
Enter the name and mailing address to which any
correspondence regarding this filing should be sent. This field
must be completed for the Bureau to return the filing. If the
filing is to be returned by email, an email address must be
provided. An email will be sent to address provided,
containing a link and instructions on how a copy of the filed
document or correspondence may be downloaded. Any email
or mailing addresses provided on this form will become part
of the filed document and therefore public record.
1. Give the exact name of the association. The name on this
line must match exactly the association name as shown in
Department’s records at the time the Statement/Certificate of
Change of Registered Office is submitted for filing. This field
is required.
2. Current address. The address provided must be the
association’s registered office address (a) or Commercial
Registered Office Provider (b) as on file with the Department
of State at the time the Statement/Certificate of Change of
Registered Office is submitted for filing. This field is
required.
3. New address. The address provided should be the
association’s new registered office address (a) or Commercial
Registered Office Provider (b) after the Statement/Certificate
of Change of Registered Office is filed and effective.
Post office boxes are not acceptable for any address. Under 15
Pa.C.S. § 135(c) (relating to addresses) an actual street or rural
route box number must be used as an address, and the
Department of State is required to refuse to receive or file any
document that sets forth only a post office box address. This
field is required.
4. For business and nonprofit corporations only, a statement
must be made that the change was authorized by the board of
directors or other body. If the change in registered office was
authorized by a body other than the board of directors of the
corporation, paragraph 4 should be modified accordingly.
Signature and Verification
An authorized representative of the association must sign
the Statement/Certificate of Change of Registered Office.
Signing a document delivered to the Department for filing
is an affirmation under the penalties provided in 18 Pa.C.S.
§ 4904 (relating to unsworn falsification to authorities) that
the facts stated in the document are true in all material
respects. This field is required.