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Notification of Change of Address of Registered Office (New Jersey)

This form is to change the address of the registered office in New Jersey. The form provided here is simply a sample of what the actual Form C-104D looks like.

New Jersey Department of the Treasury
Division of Revenue

NOTIFICATION OF CHANGE OF ADDRESS OF REGISTERED OFFICE

(For Use by Domestic and Foreign, Profit and Nonprofit Corporations)

CHECK THE APPROPRIATE STATUTE:

____ TITLE 14A:4-3 New Jersey Business Corporation Act
____ TITLE 15A:4-3 New Jersey Nonprofit Corporation Act

In accordance with the provisions of the appropriate Statute, checked above, the Department of the Treasury is hereby notified that the address

of the following ___________________________ (number) named corporations has been changed as indicated:

FROM

____________________________ (STREET AND POSTAL DESIGNATION, IF APPLICABLE)

____________________________ (CITY)

____________________________ (STATE)

____________________________ (ZIP)

TO

____________________________ (STREET AND POSTAL DESIGNATION, IF APPLICABLE)

____________________________ (CITY)

____________________________ (STATE)

____________________________ (ZIP)

LIST NAMES OF CORPORATIONS ALPHABETICALLY

____________________________

____________________________

The address of the Registered Office of each of the above named corporations will be identical after the change and twenty (20) days notice, in writing, has been given to each of the corporations. The change of address of the Registered Office of each of the corporations named herein shall become effective upon the date of filing of this Certificate in the Office of the Treasurer or at such later time, not to exceed 30 days after the date of filing, as may be set forth herein.

Effective date (if other than date of filing) will be _____________________

Signature ____________________________

Agent's Name: ____________________________

Date: ____________________________

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