RA Change Form

Fill Out The Form to Switch to Anderson Registered Agent Service

Main Contact Name*
First Last
Main Contact Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Main Contact Email
Main Contact Phone
Please type in the entity name EXACTLY as it appears on your Articles.*
What type of entity would you like us to be RA for ?*
Is this a professional Limited Liability Company (LLC)
What is the Professional service the Limited Liability Company (llC) is Providing?*
Is the ownership of the Limited Liability Company (LLC) expressed in percentage or units?*
Please select the location you would like for us to serve as your Registered Agent.*
Please select the state you need Registered Agent Services.
What is the Date of Formation?*
Month
Day*
Day
Year*
Year

Please list the name, title and address of the individual that you would like all legal and state correspondence to be sent to.
Name*
First Last
Title*
Correspondence Address
Same as previous

Street Address Address Line 2 City State ZIP Code
Please list all the managers and members with the appropriate titles*
Name Title

Please select one of the following designations for the Title Box- Manager, Member, Manager and Member or Officer.

Registered Agent Service
Price:
Registered Agent Service
Price:
Add Anderson Nominee Service Quantity
Price: $295.00
Keep your information private with Andersons Nominee service. This is important because the only available public information relating to the Corporation lists the nominee’s information, not yours. You now have control over who has this information. This is a very effective way to keep your affairs private.
Total
$0.00
Credit Card

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Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Name	Title