Form L020.004 "LLC Statement of Change of Principal Address or Statutory Agent" - Arizona

What Is Form L020.004?

This is a legal form that was released by the Arizona Corporation Commission - a government authority operating within Arizona. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on March 1, 2020;
  • The latest edition provided by the Arizona Corporation Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form L020.004 by clicking the link below or browse more documents and templates provided by the Arizona Corporation Commission.

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Download Form L020.004 "LLC Statement of Change of Principal Address or Statutory Agent" - Arizona

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Print Form
Clear Form
DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY.
LLC STATEMENT OF CHANGE
OF PRINCIPAL ADDRESS OR STATUTORY AGENT
Read the Instructions
L020i
1.
ENTITY NAME – give the exact name of the LLC as currently shown in A.C.C. records:
_______________________________________________________________________________
2.
CHANGE IN EXISTING STATUTORY AGENT NAME ONLY – if the name only of
the existing statutory agent listed in ACC records has changed, but a new
agent has not been appointed, check the box and give the new name of the
existing statutory agent below:
__________________________________________________________________
2.1 CHANGE IN EXISTING STATUTORY AGENT ADDRESS – check all that apply
and follow instructions:
STREET ADDRESS CHANGED – complete number 2.2.
MAILING ADDRESS CHANGED – complete number 2.3.
2.2 NEW STREET ADDRESS – give the NEW
2.3 NEW MAILING ADDRESS – give the NEW
physical or street address (not a P.O. Box)
mailing address in Arizona of the existing
in Arizona of the existing statutory agent:
statutory agent (can be a P.O. Box):
Check box if same as street address.
Attention (optional)
Attention (optional)
Address 1
Address 1
Address 2 (optional)
Address 2 (optional)
State
Zip
City
State
Zip
City
L020.004
Arizona Corporation Commission – Corporations Division
Rev: 3/2020
Page 1 of 3
Print Form
Clear Form
DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY.
LLC STATEMENT OF CHANGE
OF PRINCIPAL ADDRESS OR STATUTORY AGENT
Read the Instructions
L020i
1.
ENTITY NAME – give the exact name of the LLC as currently shown in A.C.C. records:
_______________________________________________________________________________
2.
CHANGE IN EXISTING STATUTORY AGENT NAME ONLY – if the name only of
the existing statutory agent listed in ACC records has changed, but a new
agent has not been appointed, check the box and give the new name of the
existing statutory agent below:
__________________________________________________________________
2.1 CHANGE IN EXISTING STATUTORY AGENT ADDRESS – check all that apply
and follow instructions:
STREET ADDRESS CHANGED – complete number 2.2.
MAILING ADDRESS CHANGED – complete number 2.3.
2.2 NEW STREET ADDRESS – give the NEW
2.3 NEW MAILING ADDRESS – give the NEW
physical or street address (not a P.O. Box)
mailing address in Arizona of the existing
in Arizona of the existing statutory agent:
statutory agent (can be a P.O. Box):
Check box if same as street address.
Attention (optional)
Attention (optional)
Address 1
Address 1
Address 2 (optional)
Address 2 (optional)
State
Zip
City
State
Zip
City
L020.004
Arizona Corporation Commission – Corporations Division
Rev: 3/2020
Page 1 of 3
NEW STATUTORY AGENT - if a new statutory agent is being appointed, check the box
3.
and complete the following for the NEW statutory agent:
3.1 REQUIRED – give the name (can be an
3.2 REQUIRED - give the mailing address in
individual or an entity) and physical or
Arizona of the NEW Statutory Agent (can be
street address (not a P.O. Box) in Arizona
a P.O. Box):
of the NEW statutory agent:
Statutory Agent Name
Attention (optional)
Attention (optional)
Address 1
Address 1
Address 2 (optional)
Address 2 (optional)
City
State
Zip
City
Zip
State
3.3
REQUIRED – if you are appointing a new statutory agent, the
Statutory Agent Acceptance
form M002 must be submitted along with this Statement of Change form.
4.
PRINCIPAL ADDRESS: check only one and fill in the corresponding blank
Same as Statutory Agent mailing address
Same as Statutory Agent street address
Give the NEW mailing address of the LLC:
Attention (optional)
Address 1
Address 2 (optional)
City
State or
Zip
Province
Country
L020.004
Arizona Corporation Commission – Corporations Division
Rev: 3/2020
Page 2 of 3
SIGNATURE –
see Instructions L020i
for who is authorized to make changes:
If the person signing this form is the existing statutory agent changing its own address, then by
the signature appearing below, the existing statutory agent certifies under penalty of law that
he or she has given the LLC named in number 1 above written notice of the address change.
By checking the box marked "I accept" below, I acknowledge under penalty of law that this
document together with any attachments is submitted in compliance with Arizona law.
I ACCEPT
Signature
Printed Name
Date
REQUIRED – check only one and fill in the corresponding blank if signing for an entity:
I am signing on behalf of an entity that
I am an individual authorized to sign
this document.
is authorized to sign this document.
Expedited or Same Day/Next Day services are available for an additional fee – see Instructions or Cover sheet for prices.
Mail:
Arizona Corporation Commission - Examination Section
Filing Fee: $5.00 (regular processing)
1300 W. Washington St., Phoenix, Arizona 85007
All fees are nonrefundable - see Instructions.
Fax:
602-542-4100
Please be advised that A.C.C. forms reflect only the minimum provisions required by statute. You should seek private legal counsel for those matters that may pertain
to the individual needs of your business. All documents filed with the Arizona Corporation Commission are public record and are open for public inspection.
If you have questions after reading the Instructions, please call 602-542-3026 or (within Arizona only) 800-345-5819.
L020.004
Arizona Corporation Commission – Corporations Division
Rev: 3/2020
Page 3 of 3
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