Form BUS-004 "Change of Business Address Domestic or Foreign - All Entities" - Connecticut

What Is Form BUS-004?

This is a legal form that was released by the Connecticut Secretary of the State - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2020;
  • The latest edition provided by the Connecticut Secretary of the State;
  • 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 BUS-004 by clicking the link below or browse more documents and templates provided by the Connecticut Secretary of the State.

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Download Form BUS-004 "Change of Business Address Domestic or Foreign - All Entities" - Connecticut

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Secretary of the
OFFICE USE ONLY
State of Connecticut
(label)
860-509-6003
crd@ct.gov
www.concord-sots.ct.gov
PHONE:
EMAIL:
WEB
:
• Use ink. • Print or type.
CHANGE OF BUSINESS ADDRESS
• Attach additional 8 1/2 x 11 sheets
DOMESTIC OR FOREIGN - ALL ENTITIES
if necessary
FILING PARTY
(confirmation will be sent to this address):
FILING FEE: $50.00
NAME:
.
EXCEPTION
ADDRESS:
No fee if only changing
business email address
CITY:
Make checks payable to
STATE:
ZIP:
"Secretary of the State"
1. NAME OF BUSINESS ENTITY
(required)
(name must exactly match the business name on file with our office, including the
business designation (e.g., LLC, Inc., Corp))
2. PRINCIPAL OFFICE ADDRESS OF BUSINESS
(required)
(Must be a street address. A P.O. Box is acceptable as additional information only):
ADDRESS:
CITY:
STATE:
ZIP:
3. MAILING ADDRESS OF BUSINESS
(required)
(Street address or P.O Box)
ADDRESS:
CITY:
ZIP:
STATE:
4. EMAIL ADDRESS OF BUSINESS:
5. EXECUTION / SIGNATURE OF AUTHORIZED OFFICIAL
(required)
(submitted under penalty of false statement):
/
/
DATE SIGNED
(mm/dd/yyyy):
CAPACITY/TITLE OF SIGNATORY
NAME OF SIGNATORY
SIGNATURE
(print or type)
(print or type)
PAGE 1 OF 1
BUS-004 (CHANGE OF BUSINESS ADDRESS)
REV. 10/2020
Secretary of the
OFFICE USE ONLY
State of Connecticut
(label)
860-509-6003
crd@ct.gov
www.concord-sots.ct.gov
PHONE:
EMAIL:
WEB
:
• Use ink. • Print or type.
CHANGE OF BUSINESS ADDRESS
• Attach additional 8 1/2 x 11 sheets
DOMESTIC OR FOREIGN - ALL ENTITIES
if necessary
FILING PARTY
(confirmation will be sent to this address):
FILING FEE: $50.00
NAME:
.
EXCEPTION
ADDRESS:
No fee if only changing
business email address
CITY:
Make checks payable to
STATE:
ZIP:
"Secretary of the State"
1. NAME OF BUSINESS ENTITY
(required)
(name must exactly match the business name on file with our office, including the
business designation (e.g., LLC, Inc., Corp))
2. PRINCIPAL OFFICE ADDRESS OF BUSINESS
(required)
(Must be a street address. A P.O. Box is acceptable as additional information only):
ADDRESS:
CITY:
STATE:
ZIP:
3. MAILING ADDRESS OF BUSINESS
(required)
(Street address or P.O Box)
ADDRESS:
CITY:
ZIP:
STATE:
4. EMAIL ADDRESS OF BUSINESS:
5. EXECUTION / SIGNATURE OF AUTHORIZED OFFICIAL
(required)
(submitted under penalty of false statement):
/
/
DATE SIGNED
(mm/dd/yyyy):
CAPACITY/TITLE OF SIGNATORY
NAME OF SIGNATORY
SIGNATURE
(print or type)
(print or type)
PAGE 1 OF 1
BUS-004 (CHANGE OF BUSINESS ADDRESS)
REV. 10/2020