Agent Name/Address Change – 1/2022
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1. Alabama Entity ID Number (Format: 000-000-000): TO OBTAIN ID NUMBER,
go to our
website at www.sos.alabama.gov, click on Business Services (below picture), click on Business Entity
and Name Search, click on Entity Name, enter the name of the entity in the appropriate box, and enter. Click on the
number and verify that this is the correct entity. This step is strongly recommended.
2. The name of the entity as registered with the Secretary of State of Alabama:
_______________________________________________________________________________________
OR
______ Multiple entities are involved in this change.
A list
of the Alabama Entity ID Numbers and registered entity names must be attached.
3. Registered Agent’s current name (must
be completed): _________________________________________
_____________________________________________________________________________________
CHANGE Registered Agent’s name to (cannot be a different person):
This form was prepared by: (type name and full address)
(For SOS Use Only
)
*Include proof of name change (license, marriage certificate, etc.)
STATE OF ALABAMA
CHANGE BY CURRENT AGENT to ALTER AGENT'S NAME
and/or CHANGE REGISTERED OFFICE ADDRESS
PURPOSE: To change a registered agent’s legal name, office address, and/or mailing address by delivering to the
Secretary of State for filing a Change by Current Agent to Alter Agent's Name and/or Change Registered Office Address
form in accordance with 10A-1-5.33. Multiple entity identification (ID) numbers and corresponding names may be listed
on one form for one fee. This form is NOT to change the current agent on record.
INSTRUCTIONS: Mail 2 copies of this completed form along with a self-addressed, stamped envelope to:
*Secretary of State, Business Services, P.O. Box 5616, Montgomery, Alabama 36103.
*Include a check, money order, or credit card payment for the $100.00 processing fee.
*You may email the filing to miscellaneous.filings@sos.alabama.gov
*Your filing will not be indexed if the credit/debit card does not authorize and will be removed from the index if the check is
dishonored ($30 fee).
This form must be typed or the request will be rejected without review.
- -
000
CHANGE BY AGENT OF AGENT NAME
and/or REGISTERED OFFICE ADDRESS
Agent Name/Address Change1/2022
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4. Registered office's current street address (No PO Boxes) in Alabama (must be completed):
Mailing address in Alabama (if different from Street Address):
CHANGE Registered office street address (No PO Boxes) in Alabama to:
Mailing address in Alabama (if different from street address):
The execution of this
filing instrument constitutes an affirmation by each person executing the instrument that the
facts therein are true, under penalties for perjury prescribed by Section 13A-10-103 or its successors.
I, the undersigned, certify that written notice of this change was given to the entity named and identified entity
identification number(s) in this change form at least 10 days before the date this change form was filed with the Office of
the Secretary of State of
Alabama.
Date (MM/DD/YYYY)
Typed name of agent authorizing change [10A-1-5.33]
Signature of authorized agent [10A-1-5.33 (b)]
Typed name and title of authorized agent [10A-1-5.33(b)]
/
/
Secretary of State Credit Card or Prepaid Payment Option/Return/Hold Sheet: If you do not send
an acknowledgement copy and a pre-addressed postage paid envelope with the filing or return email
address, you will not receive a receipt from the Secretary of State’s Office. Hold for pickup request will
have the receipt attached. The document of record will be stamped showing the receipt of the filing fee
but will not show convenience fees (generally these fees are between 2% and 5% of the total charge).
Information MUST be typed or filing will be returned without review.
-
Entity Name:
AL Entity ID #, required for all
filings other than formation/registration:
Service Requested: X $100.00 Agent/Address Change filing fee
Return via email:
Hold at Front Desk for pick-up by:
There is no notification service/call for
pick-up.
Choose one of the following:
Check/money order is attached-Please make one check payable for each filing to the Alabama
Secretary of State. Do not use one check for multiple filings.
Charge fees to prepaid account: Account Number
and Account Name
Typed Name & Signature of Authorized Individual on Account
(Visa, MC, Discover & AmEx)
Expiration Mo/Yr.: / (MM/YY)
Credit Card Type:
Card Number:
Card Holder Name:
Complete Billing Address:
Street or PO Box
City State Zip
Signature of Card Holder:
MUST be Signature of Card Holder
Agent Change Credit Card Payment Slip – 1/2/2022
-
(ex: 000-000-000)
000