SUBSEQUENT APPOINTMENT OF STATUTORY AGENT FOR SERVICE
DOMESTIC LIMITED PARTNERSHIP
Office of the Secretary of the State
MAILING ADDRESS: Commercial Recording Division Connecticut Secretary of the State P.O. Box 150470 Hartford, CT 06115-0470 860-509-6003 Space for Office Use Only Filing Fee: $10.00 DELIVERY ADDRESS: Commercial Recording Division Connecticut Secretary of the State 30 Trinity Street Hartford, CT 06106 860-509-6003 Make Checks Payable To "Secretary of the State"
Name of Limited Partnership: The above Limited Partnership appoints as its statutory agent for service, one of the following: Name of natural person who is resident of Business address: (P.O. box is unacceptable) Connecticut:
Residence address: (P.O. box is unacceptable)
Name of Entity:
Address of principal office in Connecticut:
(P.O. box is unacceptable)
AUTHORIZATION: Dated this _____ day of _______________, 20_________.
____________________________________ Print or type name of general partner
____________________________________ Signature
ACCEPTANCE:
____________________________________ Print or type name of statutory agent for service
____________________________________ Signature of statutory agent for service
REV. 08/23/2007