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Statement Of Change Of Known Place Of Business Or Statutory Agent (Arizona)

This form is for a change of business address or statutory agent in Arizona. The form letter provided here is simply a sample of what the actual form letter looks like.

STATEMENT OF CHANGE
OF
KNOWN PLACE OF BUSINESS OR STATUTORY AGENT

BY

_______________________________________________

1. The name of the Corporation is __________________________________.

2. The current known place of business is

________________________________________

________________________________________

3. The name and address of the current statutory agent is

_________________________________________

_________________________________________

_________________________________________

The known place of business is to be changed. The street address of the new known place of business is

________________________________________________________________

________________________________________________________________.

The statutory agent is to be changed. The name and address of the new statutory agent is

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________.

____ The address of the statutory agent is to be changed. The new address of the statutory agent is

___________________________________________________________

___________________________________________________________,

and the statutory agent has given the Corporation written notice of this change.

DATED this ____ day of ____________________, _____.

______________________________________
[Name of Corporation]

By__________________________________

__________________________________
[Name]

__________________________________
[Title]

____________________________________
[Statutory Agent]*

*(Statutory Agent must sign only if changing address.)

Acceptance of Appointment By Statutory Agent*

The undersigned hereby acknowledges and accepts the appointment as statutory agent of the above-named corporation effective this ____ day of _________________, ____.

Signed________________________________

_______________________________
[Print Name]

*(required only if a new statutory agent is being appointed)


PLEASE NOTE: IF THIS STATEMENT INCLUDES AN AGENT'S STATEMENT OF RESIGNATION, THEN YOU MUST ENCLOSE A FILING FEE OF $10.00 (U.S.) MADE PAYABLE TO THE ARIZONA CORPORATION COMMISSION.

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