
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.