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Change of Address for Domestic and Foreign (Connecticut)

This is a change of address for a domestic or foreign corporation in Connecticut. The form provided here is simply a sample of what the actual Form SOS 004 looks like.

CHANGE OF ADDRESS FOR DOMESTIC & FOREIGN
STOCK & NON-STOCK CORP, LLC, LP, LLP & STATUTORY TRUST

Office of the Secretary of the State
30 Trinity Street / P.O. Box 150470 / Hartford, CT 061150470 / Rev. 12/1999

Space For Office Use Only


1. COMPLETE BUSINESS NAME AS IT APPEARS IN THE RECORDS OF THE SECRETARY OF THE STATE OFFICE:

Street ______________________

City ______________________

State ______________________

Zip Code ______________________

2. PRINCIPAL OFFICE ADDRESS OF BUSINESS: (P.O. box is unacceptable - complete address required)

Street ______________________

City ______________________

State ______________________

Zip Code ______________________

3. MAILING ADDRESS OF BUSINESS: (P.O. box is acceptable - complete address required)

Street ______________________

City ______________________

State ______________________

Zip Code ______________________


4. EXECUTION:

Dated this _______________ day of _________________, 20_______.

Print or type name of signatory ______________________

Capacity of signatory ______________________

Signature ______________________

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