Fillable STATE OF ALABAMA CHANGE OF REGISTERED AGENT OR (State of Alabama)

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STATE OF ALABAMA CHANGE OF REGISTERED AGENT OR (State of Alabama)

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The STATE OF ALABAMA CHANGE OF REGISTERED AGENT OR (State of Alabama) form is 3 pages long and contains:

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  • 51 other fields

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File type: PDF

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STATE OF ALABAMA
CHANGE OF REGISTERED AGENT
OR REGISTERED OFFICE BY ENTITY
Agent/Office Address Change – 1/2021 Page 1 of 2
P
URPOSE: To change an entity’s registered office, its registered agent, or both, by delivering to the Secretary of State for
filing a statement of change in accordance with 10A-1-5.32. Use a separate form for each separate Entity ID number.
I
NSTRUCTIONS: Mail one (1) signed original and one (1) copy of this completed form along with a self-addressed,
stamped envelope with the filing fee of $100.00 (credit card, check, or money order) to the Secretary of State,
Business Services, P.O. Box 5616, Montgomery, Alabama 36103-5616. or you may email the filing to
miscellaneous.filings@sos.alabama.gov
If you are submitting this filing via email and would like a copy returned to
you, check $4.00 copy fee on the credit card payment form. If the credit card does not authorize or if the check is
dishonored, the filing will be removed from the index and of no legal effect. In the case of a dishonored check, a $30 fee
will be charged.
Item 3 is the information pertaining to the current registered agent and office location currently on file with the Secretary
of State. Complete this for verification purposes. You may change the name of the agent, the street address of the
registered office, and the mailing address of the registered office, or any one of the three (items 4, 5, and 6).
T
his form must be typed.
1. Alabama Entity ID Number (Format: 000-000): - TO OBTAIN ID NUMBER Go to our
website at www.sos.alabama.gov click on Business Services (below picture), click on Business Entity and Name
Search, click on Entity Name, enter the name of the entity in the appropriate box, and enter. Click on the number and
verify that this is the correct entity. This step is strongly recommended.
2. T
he name of the entity as registered with the Secretary of State of Alabama:
3. T
he name of the Registered Agent currently registered entity with the Secretary of State of Alabama:
Street (No PO Boxes) address of the Registered Office:
Mailing address of Registered Office (if different from street address):
T
his form was prepared by: (type name and full address)
(For SOS Use Only
)
CHANGE OF REGISTERED AGENT OR REGISTERED OFFICE BY ENTITY
Agent/Office Address Change – 1/2021 Page 2 of 2
4. Change the name of the Registered Agent (must be located in Alabama) for this entity to:
The new registered agent must sign the consent to appointment in consent box prior to filing.
5. Change the street (No PO Boxes) address in Alabama of the Registered Office to:
6. Change the mailing address of the Registered Office (if different from street address) to:
7. The entity certifies that the street address of the registered office and the street address of the registered agent’s
business are the same and located in Alabama.
I, the undersigned, certify that any change specified in this document is authorized by the entity.
Date (MM/DD/YYYY) Typed Name and Title of Signature for Entity Below
Signature of Person Authorized to Sign per 10A-1-4.01, Alabama Code
I, the undersigned, consent to appointment as registered agent for
(entity name in blank).
Date (MM/DD/YYYY) Typed Name of Agent (Individual or Entity)
Signature of /for Registered Agent
____________________________________________________
Typed Name and Title of Signature for Entity
/
/
/
/
Agent Change Credit Card Payment Slip – 01/2021
Secretary of State Credit Card or Prepaid Payment Option/Return/Hold Sheet: : If you do not send
an acknowledgement copy and a pre-addressed postage paid envelope with the filing or return email
address, you will not receive a receipt from the Secretary of State’s Office. Hold for pickup request will
have the receipt attached. The document of record will be stamped showing the receipt of the filing fee
but will not show convenience fees (generally these fees are between 2% and 5% of the total charge).
Information MUST be typed or filing will be returned without review.
Entity Name:
AL Entity ID #, required for all filings other than formation/registration: - (ex: 000-000)
Service Requested: X $100.00 Agent/Address Change filing fee
$4.00 Copy Fee (Acknowledgement Copy if submitted by email)
If submitted by email check one: Return by email postal mail
Return via email (paper copy will not be sent):
Hold at Front Desk for Pick-up by:
There is no notification service/call for pick-up. (Service providers who run couriers for pick-up)
C
hoose one of the following:
Check/money order is attached-Please make one check payable for each filing to the Alabama
Secretary of State. Do not use one check for multiple filings.
Charge fees to prepaid account: Account Number
and Account Name
Typed Name & Signature of Authorized Individual on Account
Credit Card Type: (Visa, MC, Discover & AmEx)
Card Number: Expiration Mo/Yr.: / (MM/YY)
Card Holder Name:
Complete Billing Address:
Street or PO BOX
City State Zip
Signature of Card Holder:
MUST be Signature of Card Holder
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STATE OF ALABAMA CHANGE OF REGISTERED AGENT OR (State of Alabama)

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Completed 24 January 2022

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