Annual Report Filing Service Registration FormComplete the information below for our team to review, prepare, and submit your state filing. Annual Report Personal InformationFirst Name(Required)Last Name(Required)Email(Required) Phone LLC / Corporation InformationDo You Need to Change the Registered Agent?(Required)Do You Need to Change the Registered Agent? Yes No Current Registered Agent Name(Required)New Registered Agent Name(Required)New Registered Agent Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code New Registered Agent Email(Required) New Registered Agent Phone(Required) Do You Need to Change the Principal Business Address?(Required)Do You Need to Change the Principal Business Address? Yes No Current Business Address(Required)Current Business Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code New Business Address(Required)New Business Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Are There Any Other Changes?(Required)Are There Any Other Changes? Yes No Specify Other Amendments Requested(Required) Signature(Required)SignatureConfirmation of Requested Services(Required) By checking this I agree that I am requesting the above services
