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Notice Of Change Of Registered Office Or Registered Agent Or Both Of A South Carolina Or Foreign Corporation

This is a notice of change of registered office and/or agent in South Carolina. The form provided here is simply a sample of what the actual Form DOM11 looks like.

STATE OF SOUTH CAROLINA
SECRETARY OF STATE

NOTICE OF CHANGE OF REGISTERED OFFICE OR REGISTERED AGENT OR BOTH OF A SOUTH CAROLINA OR FOREIGN CORPORATION

TYPE OR PRINT CLEARLY IN BLACK INK

Pursuant to Sections 33-5-102 and 33-15-108 of the 1976 South Carolina Code of Laws, as amended, the undersigned corporation submits the following information.

1. The name of the corporation is _____________________________

2. The corporation is (complete either a or b, whichever is applicable):

a. a domestic corporation incorporated in South Carolina on

____________________________; or

b. a foreign corporation incorporated in _____________________________ (State)

on ____________________________ (Date), and authorized to do business in South Carolina

on ____________________________ (Date)

3. The street address of the present registered office in South Carolina

is _____________________________ (Street & Number)

in the city of _____________________________, South Carolina

_____________________________ (Zip Code)

4. If the current registered office is to be changed, the street address to which its registered office is to be changed

is _____________________________ (Street Address)

in the city of _____________________________ South Carolina

_____________________________ (Zip Code)

5. The name of the present registered agent is _____________________

6. If the current registered agent is to be changed, the name of the successor registered agent is

_____________________________.

* I hereby consent to the appointment as registered agent of the corporation:

______________________________________
Signature of New Registered Agent

7. The address of the registered office and the address of the business office of the registered agent, as changed, will be identical.

8. Unless a delayed date is specified, this will be effective upon acceptance for filing by the Secretary of State (See Section 33-1-230(b) of the 1976 South Carolina Code of Laws, as Amended _____________________________.

*Pursuant to Sections 33-5-102(5) and 33-5-108(5) of the 1976 South Carolina Code of Laws, as amended, the written consent of the registered agent may be attached to this form.

Date ___________________________

Name of Corporation ___________________________

Signature ___________________________

Type or Print Name and Office ___________________________

___________________________


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INSTRUCTIONS FOR FILLING OUT THIS FORM
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1. Two copies of this form, the original and either a duplicate original or a conformed copy must be filed.

2. Filing Fee (payable to the Secretary of State at the time of filing this document) -- $10.00

3. Pursuant to Section 33-5-102(b) of the 1976 South Carolina Code of Laws, as amended, the registered agent can file this when the only change is the street address of the registered office. In this situation, the following statement should be typed on the form above the registered agent's signature: "The corporation has been notified of this change." In this case the filing fee is $2.00.

Return to: Secretary of State
P.O. Box 11350
Columbia, SC 29211

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