FLORIDA DEPARTMENT OF STATE 
                                  DIVISION OF CORPORATIONS 
 
Attached are the forms and instructions to amend the name, jurisdiction, or the registered agent, or any person 
identified in accordance with s. 605.0902 (1)(e), or a change in title or capacity of that person, for a foreign 
limited liability company authorized to transact business in Florida. The requirements are as follows: 
 
 Pursuant to s. 605.0907, Florida Statutes, the attached application must be completed in its entirety. 
 
 A certificate from the state of jurisdiction evidencing the amendment must be submitted with the application.  
  The certificate should be issued within the past 90 days. 
 
 The name of a limited liability company in the state of Florida must contain the words “Limited Liability 
  Company,” the abbreviation “L.L.C.” or the designation “LLC.” 
 
 The name of a limited liability company must be distinguishable on the records of the Florida Department of 
  State. If you have changed the name of your limited liability company and the new name is not 
  distinguishable on our records, you must adopt an alternate name to use in the state of Florida. To adopt an 
  alternate name, you must submit a copy of the written consent of the managers or managing members 
  adopting the alternate name. You may download a fill-in-the blank consent form from our website 
  www.sunbiz.org.  
   
  A preliminary search for name availability can be made on the Internet through the Division’s records at 
  www.sunbiz.org. Preliminary name searches and name reservations are no longer available from the Division 
  of Corporations. You are responsible for any name infringement that may result from your name selection.  
 
 The fees are as follows: 
               $25.00  Filing Fee 
               $30.00  Certified Copy (optional) 
               $  5.00 Certificate of Status (optional) 
 
 A letter of acknowledgment will be issued free of charge upon registration.  Please submit one check made 
  payable to the Florida Department of State for the total amount of the filing fee and any optional certificate 
  or copy. 
 
 A COVER letter should be submitted along with the application, certificate, and check. The mailing address 
  and courier address are noted below. 
 
 Please send the application to: 
  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 
  
 Any further inquiries concerning this matter should be directed to the Registration Section by calling  
 (850) 245-6051. 
  
CR2E055 (9/15) 

                                                                                     1 
 

                                      COVER LETTER 
 
TO:  Registration Section 
     Division of Corporations 
 
SUBJECT:                                                                                      
                           Name of Foreign Limited Liability Company 
 
Dear Sir or Madam: 
 
The enclosed application, certificate and fee(s) are submitted for filing. 
 
Please return all correspondence concerning this matter to the following: 
 
                     Name of 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 Person                Area Code & Daytime Telephone Number 
 
     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 
                      
     Enclosed is a check for the following amount: 
☐$25 Filing Fee      ☐ $30 Filing Fee &           ☐ $55 Filing Fee &        $60☐Filing Fee,  
                              Certificate of Status          Certified Copy                Certificate of Status &  
                                                                                     Certified Copy 
CR2E055 (9/15) 
                                                    2 
 

   APPLICATION BY FOREIGN LIMITED LIABILITY COMPANY TO FILE 
   AMENDMENT TO CERTIFICATE OF AUTHORITY TO TRANSACT 
                                                        BUSINESS IN FLORIDA 
 
                                                        SECTION I (1-4 must be completed) 
 
1. Name of limited liability Company as it appears on the records of the Florida Department of 
    
     State:                                                                                                                
 
Enter new principal office address, if applicable:                                                                         
 
(Principal office address                                                                                                  
MUST BE A STREET ADDRESS)                                
                                                                                                                           
Enter new mailing address, if applicable:                                                                                  
(Mailing address                                                
MAY BE A POST OFFICE BOX)                                                                                                  
                                                                                            
2. The Florida document number of this limited liability company is:                                                       
 
3.  Jurisdiction of its organization:                                                                                      

4.  Date authorized to do business in Florida:                                                                             

SECTION II (5-9 complete only the applicable changes) 

5.  New name of the limited liability company:                                                                             
                                                            (must contain “Limited Liability Company, “ “L.L.C.,” or  “LLC.”) 
 
(If name unavailable, enter alternate name adopted for the purpose of transacting business in Florida and attach a 
copy of the written consent of the managers or managing members adopting the alternate name. The alternate name 
must contain “Limited Liability Company,” “L.L.C.” or “LLC.”) 
 
6. If amending the registered agent and/or registered officer address on our records, enter the name of the new 
registered agent and/or the new registered office address here: 
 
Name of New Registered Agent:                                                                                              
 
New Registered Office Address:                                                                                             
                                                                                            Enter Florida Street Address 
                                                         
                                                                                                 , Florida                 
                                                                                           City          Zip Code 
 
New Registered Agent’s Signature, if changing Registered Agent: 
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 
and accept the obligations of my position as registered agent as provided for in Chapter 605, F.S. Or, if this 
document is being filed to merely reflect a change in the registered office address, I hereby confirm that the limited 
liability company has been notified in writing of this change.  
 
                                                              If Changing Registered Agent, Signature of New Registered Agent 
 
                                                                 3 
 

7.  If the amendment changes the jurisdiction of organization, indicate new jurisdiction: 

8.  If the amendment changes person, title or capacity in accordance with 605.0902 (1)(e), indicate that change:  
 
Title/ Capacity          Name                                              Address                   Type of Action 
 
                                                                                                                 Add☐
         
                                                                                                                Remove☐
 
                                                                                                                 Add☐
         
                                                                                                                Remove☐
 
                                                                                                                 Add☐
         
                                                                                                                Remove☐
 
                                                                                                                 Add☐
         
                                                                                                                Remove☐
 
                                                                                                                 Add☐
         
                                                                                                                Remove☐
9.  Attached is a certificate, if required: no more than 90 days old, evidencing the     
     aforementioned amendment(s), duly authenticated by the official having custody of records in the   
     jurisdiction under the law of which this entity is organized. 
 
                               Signature of the authorized representative  
        
                              Typed or printed name of signee 
 
                               Filing Fee:  $25.00 
                                4