Free Certificate of change of address of resident agent - Massachusetts

C.13

FEDERAL IDENTIFICATION NO. ______________________

Fee: $10.00

The Commonwealth of Massachusetts
William Francis Galvin Secretary of the Commonwealth One Ashburton Place, Boston, Massachusetts 02108-1512

CERTIFICATE OF CHANGE OF ADDRESS OF RESIDENT AGENT
(General Laws, Chapter 180, Section 10C)

I, ___________________________________________________________________________________________ , Resident Agent (Exact name of resident agent) of _________________________________________________________________________________________________________ , (Exact name of corporation) having a principal office at ___________________________________________________________________________________ , (Street address of corporation in Massachusetts) certify that my business address has been changed to:

__________________________________________________________________________________________________________ . (Business address of resident agent in Massachusetts, including number, street, city or town and zip code)

SIGNED UNDER THE PENALTIES OF PERJURY, this ___________ day of _______________________________ , 20 _________ ,

____________________________________________________________________________________________ , Resident Agent.
Note: By law, this certificate must be filed within five (5) days of such change of address.
180ccara 4/5/00

THE COMMONWEALTH OF MASSACHUSETTS

CERTIFICATE OF CHANGE OF ADDRESS OF RESIDENT AGENT
(General Laws, Chapter 180, Section 10C)

I hereby approve the within Certificate of Change of Address of Resident Agent and, the filing fee in the amount of $ _______ having been paid, said certificate is deemed to have been filed with me this ______ d a y of ____________________ , 20 _____ .

WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth