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Change of Registered Agent's Address (Connecticut)

This is a change of registered agent's address for a foreign corporation in Connecticut. The form provided here is simply a sample of what the actual Form SC 108 looks like.

CHANGE OF REGISTERED AGENT'S ADDRESS
FOREIGN CORPORATION

Office of the Secretary of the State
30 Trinity Street / P.O. Box 150470 / Hartford, CT 06115-0470 / Rev. 12/1999

Space For Office Use Only

1. NAME OF CORPORATION IN ITS STATE/COUNTRY OF FORMATION:

_______________________

2. IF DIFFERENT FROM THE ABOVE, THE NAME UNDER WHICH THE CORPORATION TRANSACTS BUSINESS IN CONNECTICUT:

_______________________

3. CURRENT AGENT NAME AND NEW ADDRESS INFORMATION:

Name of agent: _______________________

Business Address:

Street _______________________

City _______________________

State _______________________

Zip Code _______________________

Residence Address:

Street _______________________

City _______________________

State _______________________

Zip Code _______________________

I have notified the corporation of the above stated address changes.

4. EXECUTION:

Dated this _____________________ day of _______________, 20_____.

Print or type name of agent _______________________

Signature of agent _______________________


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INSTRUCTIONS FOR FILLING OUT THIS FORM
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Instructions correspond with numbered entries on the form

1. NAME OF CORPORATION: Please provide the complete current name of the corporation as it appears in the records of its state or country of formation.

2. NAME OF CORPORATION IN CONNECTICUT: If different from above, please provide the complete name under which the corporation transacts business in Connecticut.

3. CURRENT AGENT NAME AND NEW ADDRESS INFORMATION: Please provide the name of the corporation's agent as it currently appears on the records of the Office of the Secretary of the State and the new address information pertaining to that agent. Information provided in the address blocks on this form will replace like information on the indexes of this office. Please note that all addresses must include a street number, street name, city, state, and postal code. P.O. Boxes are only acceptable as additional information.

4. EXECUTION: The agent must print or type their name and provide a signature. The execution constitutes a legal statement under the penalties of false statement that the information provided in the document is true.

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