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                                                           COVER LETTER 
                                                               
TO: Registration Section 
    Division of Corporations 
 
SUBJECT:                                                                                                            
                    Name of Limited Partnership or Limited Liability Limited Partnership 
                                                               
DOCUMENT NUMBER:                                                                                                    
 
The enclosed Statement of Change of Registered Office and/or Registered Agent and 
fee(s) are submitted for filing. 
 
Please return all correspondence concerning this matter to: 
 
                                             Contact Person 
 
                                            Firm/Company 
 
                                                   Address 
                                                               
                                     City, State and Zip Code 
 
         E-mail address: (to be used for future annual report notification) 
 
For further information concerning this matter, please call: 
 
                                                              at (          )                                       
               Name of Contact Person                                       Area Code and Daytime Telephone Number 
 
Enclosed is a $35.00 check made payable to the Florida Department of State. 
 
Mailing Address:                                                   Street Address: 
Registration Section                                               Registration Section 
Division of Corporations                                           Division of Corporations 
P.O. Box 6327                                                      The Centre of Tallahassee 
Tallahassee, FL 32314                                              2415 N. Monroe Street, Suite 810 
                                                                   Tallahassee, FL 32303 
 
INHS04 (01/06) 



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LIMITED PARTNERSHIP OR LIMITED LIABILITY LIMITED PARTNERSHIP 
    STATEMENT OF CHANGE OF REGISTERED OFFICE OR  
                             REGISTERED AGENT, OR BOTH 
                                                        
Pursuant to the provisions of section 620.1115, Florida Statutes, the undersigned limited 
partnership or limited liability limited partnership submits the following statement in order to 
change its registered office or registered agent, or both, in the state of Florida. 
 
1.                                                                                                          
                Name of Limited Partnership or Limited Liability Limited Partnership 
                                                        
2.                                                            3.                                            
              Date of filing/registration in Florida                  Florida document number 
 
4.  The name of the registered agent and the registered office address as shown on the records of the Florida 
Department of State: 
 
                                                       Name 
                                                        
                                                      Address 
                                                        
                                 City, State and Zip 
                                                        
5.  The name and Florida street address of the new registered agent and/or office: 
                                                        
                                                       Name 
                                                        
                             Florida street address (P.O. Box not acceptable) 
                                                        
                                                                   FL                 
                                 City, State and Zip 
                                                        
6.  Such change(s) is/are effective when filed by the Florida Department of State. 
 
Signature of General Partner 
 
I hereby accept the appointment as registered agent and agree to act in this capacity.  I further agree to 
comply with the provisions of all statutes relative to the proper and complete performance of my duties, 
and I am familiar with an accept the obligations of my position as registered agent. 
 
Signature of Registered Agent 
 
Filing Fee:                    $35.00 
Certified Copy (optional):  $52.50 






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