Free Microsoft Word - chng of address _all_.DOC - Connecticut

CHANGE OF BUSINESS ADDRESS
Domestic & Foreign All Entities

FILING FEE: $25.00

Make checks payable to "Secretary of the State"

Website Address: www.concord.sots.ct.gov Telephone Number: (860) 509-6003 Mailing Address: Connecticut Secretary of the State, Commercial Recording Division P.O. Box 150470, Hartford, CT Courier Delivery Address ONLY: (i.e. FedEx, UPS, etc.) 30 Trinity Street, Hartford, CT 06106 USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. IMPORTANT: THIS FORM CHANGES THE PRINCIPAL AND MAILING ADDRESSES ONLY.

06115-0470

1.

Complete business name as it appears in the records of the Secretary of the States Office:

2.

Principal office address of business: (No P.O. Box)

CONNECTICUT SECRETARY OF THE STATE

3.

IF YOU ARE ALSO CHANGING THE ENTITY'S MAILING ADDRESS PLEASE FILL OUT #3, BELOW. Mailing address of business:

4.

Execution-REQUIRED: (Subject to penalty of false statement.)

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Print or type name of signatory Capacity/Title of signatory Signature An annual report will be due yearly in the anniversary month that the LLC was organized and can be easily filed online @ www.concord.sots.ct.gov Contact your tax advisor or the Taxpayer Service Center at the Department of Revenue Services as to any potential tax liability relating to your business, including questions about the Business Entity Tax.

Taxpayer Service Center: (800) 382-9463 or (860) 297-5962 or go to www.ct.gov/drs
Revised 06/19/09