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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File type: PDF

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Agent/Office Address Change – 1/2022
Page 1 of 2
STATE OF ALABAMA
CHANGE OF REGISTERED AGENT
OR REGISTERED OFFICE BY ENTITY
PURPOSE: 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.
INSTRUCTIONS: Mail 2 copies of this completed form along with a self-addressed, stamped envelope to:
*Secretary of State, Business Services, P.O. Box 5616, Montgomery, Alabama 36103.
*Include a check, money order, or credit card payment for the $100.00 processing fee.
*You may email the filing to miscellaneous.filings@sos.alabama.gov
*Your filing will not be indexed if the credit/debit card does not authorize and will be removed from the index if the
check is dishonored ($30 fee).
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).
This form must be typed or the request will be rejected without review.
1. Alabama Entity ID Number (Format: 000-000-000): 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. The name of the entity as registered with the Secretary of State of Alabama:
3. The name of th
e 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):
This form w
as prepared by: (type name and full address)
(For SOS Use Only
)
- -
000
CHANGE OF REGISTERED AGENT OR REGISTERED OFFICE BY ENTITY
Agent/Office Address Change – 1/2022
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 the 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 entit
y 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 undersi
gned, 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
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
/
/
/
/
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:
Service Requested: X $100.00 Agent/Address Change filing fee
Return via email:
Hold at Front Desk for pick-up by:
There is no notification service/call
for pick-up.
Choose 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
(Visa, MC, Discover & AmEx)
Expiration Mo/Yr.: / (MM/YY)
Credit Card Type:
Card Number:
Card Holder Name:
Complete Billing Address:
Street or PO Box
City State Zip
Signature of Card Holder:
MUST be Signature of Card Holder
Agent Change Credit Card Payment Slip – 1/2/2022
-
(ex: 000-000-000)
000
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STATE OF ALABAMA CHANGE OF REGISTERED AGENT OR (State of Alabama)

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Completed 28 February 2022

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