TRANSMITTAL INFORMATION
For All Business Filings
Business Name (List exactly as it appears in documents)
Name of person filing document (evidence of filing will be mailed to this person, at address below)
Daytime phone number
Address
City
State
Zip Code
NOTE: Louisiana Law requires all Louisiana notaries to print or type their name and notary or
bar roll number on the document.
Commercial Division
(225) 925-4704
Fax Numbers
(225) 932-5314 Corporations
(225) 932-5317 Legal Services
(225) 932-5318 UCC
STATE OF LOUISIANA
S
ECRETARY OF STATE
Nancy Landry
SECRETARY OF STATE
Mailing Address: P. O. Box 94125, Baton Rouge, LA * 70804-9125
Office Location: 8585 Archives Ave., Baton Rouge, LA * 70809
Web Site Address: www.sos.la.gov
SS984 Rev. 01/24
Fax number Email address
Routine
Expedite $30
Check or Money Order Enclosed
Please indicate below the level of service requested, payment and contact information
Priority Expedite $50
2-4 hour processing
*Do not put credit card information on this form. You may save payment information in your geauxBIZ profile under master account.
24 hour processing
Nancy Landry
Secretary of State
NOTICE OF CHANGE OF REGISTERED OFFICE
AND/OR CHANGE OF REGISTERED AGENT
(R.S. 12:1308)
Enclose $25 Filing Fee
Return to: Commercial Division
Domestic Limited Liability Company
Make remittance payable to
Secretary of State
P
.O. Box 94125
Baton Rouge, LA 70804-9125
(225) 925-4704
Do Not Send Cash
www.sos.la.gov
Limited Liability Company Name:
CHANGE OF LOCATION OF REGISTERED OFFICE
Notice is hereby given that the above named limited liability company has authorized a change in the location of
its registered office. The new registered office is located at:
To be signed by a member or manager Date
CHANGE OF REGISTERED AGENT(S)
Notice is hereby given that the above named limited liability company has authorized the change of its registered
agent(s). The name(s) and address(es) of the new registered agent(s) is/are as follows:
To be signed by a manager or member Date
AGENT AFFIDAVIT AND ACKNOWLEDGEMENT OF ACCEPTANCE
I hereby acknowledge and accept the appointment of registered agent(s) for and on behalf of the above named
limited liability company.
Registered Agent(s)
Sworn to and subscribed before me, the undersigned Notary Public, on this date:
Notary Signature
SS983 Rev. 01/24
(See instructions on back)
NOTARY NAME MUST BE TYPED OR PRINTED WITH NOTARY #
INSTRUCTIONS
1. This form is to be used when an existing domestic limited liability company changes the location of its
registered officeor changes its registered agent(s), or both.
2.
The Change of Location of Registered Office or Change of Registered Agent(s) must be signed by a
manager, if management of the limited liability company is vested in one or more managers, or by at least
one member, if management of the limited liability company is reserved to the members.
3.
The new registered agent(s) must sign the acknowledgement and acceptance of their appointment before
a notary public.
4.
A registered agent may change his address in this state by signing a statement which includes the
following:
a. The name of the limited liability company for which the change is effective.
b.
The new address of the registered agent.
If the old and new addresses of the registered agent are the same as the old and new addresses of the
registered office, the statement may include a change of address of the registered office if:
a. The registered agent notifies the company in writing.
b. The statement recites that the registered agent has done so.
