The Illinois Statement of Change form is a document that is used to update the state on any changes in personal information. This includes changes in name, address, or other important details. It is important to keep this form updated, as it can be used for many different purposes. For example, it may be required when applying for a driver's license or passport. Make sure to submit your Illinois Statement of Change form as soon as possible any time there are any changes in your personal information.
We've gathered some basic information regarding the illinois statement of change. You will have the likely time it'd require you to prepare the form and a few extra details.
| Question | Answer |
|---|---|
| Form Name | Illinois Statement Of Change |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | llc 1 36 3, llc change agent, illinois division of assets liabilities form, how to make principle office address change illinois llc |
Form
August 2018
Secretary of State Department of Business Services Limited Liability Division
501 S. Second St., Rm. 351 Springfield, IL 62756
Payment may be made by check payabletoSecretaryofState.Ifcheck is returned for any reason this filing will be void.
Illinois
Limited Liability Company Act
StatementofChangeofRegistered
Agentand/orRegisteredOffice
SUBMIT IN DUPLICATE
Type or print clearly.
This space for use by Secretary of State. Filing Fee: $25
Penalty (See Note 1 on page 2.):
Approved:
FILE #
This space for use by Secretary of State.
1.Limited Liability Company name: ____________________________________________________________________
2.Name and address of registered agent and registered office as they now appear on the records of the Office of the Secre- tary of State (before change):
Registered agent: |
________________________________________________________________________________ |
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First Name |
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Middle Name |
Last Name |
Registered office: |
________________________________________________________________________________ |
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Number |
Street |
Suite No. (P.O. Box alone is unacceptable) |
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IL |
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________________________________________________________________________________ |
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City |
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ZIP |
3. Name and address of registered agent and registered office shall be (after change): |
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Registered agent: |
________________________________________________________________________________ |
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(See Notes) |
First Name |
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Middle Name |
Last Name |
Registered office: |
________________________________________________________________________________ |
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(See Notes) |
Number |
Street |
Suite No. (P.O. Box alone is unacceptable) |
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IL |
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________________________________________________________________________________ |
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City |
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ZIP |
4.The address of the registered office and the address of the business office of the registered agent, as changed, will be identical.
5.The above change was authorized by: (check one box only)
a.n the members or manager, having authority to change the registered agent, registered office address or both.
b.n the registered agent, who is changing only the registered office address.
6.The undersigned affirms, under penalties of perjury, having authority to sign hereto, that this statement of change of reg- istered agent and/or registered office is to the best of my knowledge and belief, true, correct and complete.
Dated: _______________________________, ________________
Month/DayYear
________________________________________________________
Signature
________________________________________________________
Name and Title (type or print)
________________________________________________________
If applicant is signing for a company or other entity, state name of company or entity.
PrintedbyauthorityoftheStateofIllinois.October
NOTES
1.A$100 penalty applies when the limited liability company fails to appoint and maintain a registered agent within 60 days of notification of the Secretary of State by the resigning agent.
2.The registered agent must reside in Illinois. A business entity acting as agent must be registered with the Secretary of State. The LLC may not act as its own registered agent.
3.The registered office must include the number and the street or road address (a PO Box with the