Free Microsoft Word - F0062.DOC - Mississippi

F0062 - Page 1 of 1

OFFICE OF THE MISSISSIPPI SECRETARY OF STATE
P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1633

0062-1-1*
1. Foreign Business Trust Name

Registered Agent/Office Statement of Change

2. Name and Street Address of the Registered Agent and Registered Office (as on file with the Secretary of State) Name

Physical Address

P. O. Box City, State, Zip5, Zip4

3. New Registered Agent's Name and Registered Office Name Physical Address P.O. Box City, State, ZIP5, ZIP4

-

4. The address of the registered office and address of the business office of the registered agent, as changed will be identical. 5. The change of registered agent and/or office was authorized by resolution duly adopted by its trustees. By: Signature

Printed Name

Title

Rev. 07/98