NOTICE OF CHANGE OF COMMERCIAL REGISTERED AGENT INFORMATION
(PLEASE TYPE OR PRINT CLEARLY IN INK)
1. a. Current Name of Commercial Registered Agent: ___________________________________________________________ b. New name of Commercial Registered Agent:______________________________________________________________ 2. a. Current address on file: ________________________________________________________________________________
Street Address
________________________________________________________________________________________________________
Street Address Line 2 City, State Zip
b. New address:_________________________________________________________________________________________
Street Address
________________________________________________________________________________________________________
Street Address Line 2 City, State Zip
3. a. Jurisdiction / type of organization:________________________________________________________________________ b. New jurisdiction / new type of organization:________________________________________________________________ 4. Attach a listing of ALL entities effected by the above change(s).
A commercial registered agent shall promptly furnish each entity it represents with notice of the filing of a statement of change.
I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days. Executed this _____________ day of _______________, __________________.
__________________________________________________
Signature and Title of Authorized Individual
__________________________________________________
Printed Name of Authorized Individual
NO FEE
CRA-CF Rev. 08/07