Statement of Appointment or Change of Registered Agent and Registered Office
(New Hampshire)
[// GUIDANCE: This template is designed for use by any domestic or foreign business entity qualified to transact business in New Hampshire, including corporations, LLCs, LPs, LLPs, and statutory trusts. It consolidates the Secretary of State filing, the entity’s internal authorizing resolution, and the statutory written consent of the Registered Agent. Delete any provisions that are unnecessary for your entity type and consult current filing instructions issued by the New Hampshire Department of State, Corporation Division.]
I. DOCUMENT HEADER
- Entity Name: [LEGAL NAME OF ENTITY AS REGISTERED IN NH]
- Entity Type: [Corporation | LLC | LP | LLP | Statutory Trust | Other]
- Formation Jurisdiction: [State/Country]
- NH Business ID #: [Secretary of State I.D.]
- Document Title: Statement of Appointment or Change of Registered Agent and Registered Office
- Effective Date: [MM / DD / YYYY] (must not be more than 90 days after filing date)
- Governing Law: New Hampshire Revised Statutes Annotated (“RSA”) 293-A:5.01–5.02 and other applicable state-corporate-law provisions.
- Filing Office: New Hampshire Department of State, Corporation Division, State House Annex, 107 North Main Street, Concord, NH 03301-4989.
II. DEFINITIONS
For purposes of this Statement, the following terms have the meanings set forth below. Capitalized terms used but not defined herein have the meanings assigned to them under applicable New Hampshire law.
“Business Entity” – The domestic or foreign entity identified in Section I.1.
“Registered Agent” – The individual or business organization appointed pursuant to RSA 293-A:5.01 to receive service of process on behalf of the Business Entity.
“Registered Office” – The physical street address in New Hampshire where the Registered Agent’s business office is located and which is identical to the address on file with the New Hampshire Department of State.
III. OPERATIVE PROVISIONS
3.1 Appointment / Change.
(a) The Business Entity hereby (i) designates the individual or organization set forth in Section 3.2 as its new Registered Agent in the State of New Hampshire, and (ii) states that such appointment either replaces the existing Registered Agent on file or constitutes the initial designation of a Registered Agent, as indicated below:
• ☐ Initial Designation (no prior Registered Agent on file)
• ☐ Change of Registered Agent (prior agent to be replaced)
(b) The Registered Agent accepts such appointment pursuant to Section X herein.
3.2 Registered Agent & Registered Office Information.
| Name of Registered Agent (if entity, exact legal name) | [REGISTERED AGENT NAME] |
| Capacity (check one) | ☐ Individual resident of NH ☐ Domestic Corp/LLC ☐ Foreign Corp/LLC authorized in NH |
| Street Address of Registered Office* | [NUMBER & STREET], [CITY], NH [ZIP] |
| Mailing Address (if different) | [P.O. BOX OR STREET], [CITY], NH [ZIP] |
[// GUIDANCE: *RSA 293-A:5.01 requires a physical street address. P.O. Boxes alone are not acceptable.]
3.3 Effective Time.
This Statement shall become effective on the date and time recorded by the New Hampshire Secretary of State in the public record, or on the delayed effective date specified in Section I.6 (if any), whichever is later.
3.4 Filing Authorization.
The undersigned affirms that the Business Entity is authorized to file this Statement and that the information contained herein is accurate and complete as of the Effective Date.
IV. REPRESENTATIONS & WARRANTIES
4.1 Representations of Business Entity.
(a) The Business Entity is duly organized, validly existing, and in good standing under the laws of its jurisdiction of formation.
(b) The execution, delivery, and filing of this Statement have been duly authorized in accordance with the governing documents of the Business Entity and applicable law.
4.2 Representations of Registered Agent.
(a) The Registered Agent is eligible to serve under RSA 293-A:5.01 and maintains a business office identical to the Registered Office listed in Section 3.2.
(b) The Registered Agent will forward to the Business Entity at the address on record any process, notice, or demand served upon it as agent within the time required by law.
4.3 Survival.
The representations and warranties set forth in this Article IV shall survive the filing of this Statement for so long as the Registered Agent remains on file with the Secretary of State.
V. COVENANTS & RESTRICTIONS
5.1 Ongoing Compliance.
The Business Entity covenants to:
(a) Maintain a Registered Agent and Registered Office in New Hampshire at all times; and
(b) File any future statement of change promptly upon becoming aware that the Registered Agent or Registered Office no longer meets statutory requirements.
5.2 Notification Obligation.
The Registered Agent shall promptly notify the Business Entity if it ceases to satisfy the eligibility requirements of RSA 293-A:5.01 or intends to resign pursuant to RSA 293-A:5.02.
VI. DEFAULT & REMEDIES
6.1 Failure to Maintain Registered Agent.
If the Business Entity fails to maintain a Registered Agent or if the Registered Agent’s authority is terminated and no successor agent is appointed:
(a) The New Hampshire Secretary of State may commence administrative dissolution or revocation proceedings as provided by statute; and
(b) Service of process may thereafter be made upon the New Hampshire Secretary of State as agent of last resort.
6.2 Cure Period.
Upon written notice of non-compliance, the Business Entity shall have 30 days to appoint a successor Registered Agent and file an appropriate statement of change.
VII. RISK ALLOCATION
[Not applicable—no indemnification, liability caps, or insurance provisions are necessary or advisable for this statutory filing.]
VIII. DISPUTE RESOLUTION
8.1 Governing Law.
This Statement and any dispute arising hereunder shall be governed by and construed in accordance with the laws of the State of New Hampshire, without regard to its conflict-of-laws principles.
8.2 Forum Selection.
Any judicial proceeding relating to this Statement shall be brought in the New Hampshire Business Court (when applicable), or otherwise in the state courts sitting in Merrimack County, New Hampshire.
[// GUIDANCE: Arbitration, jury waiver, and injunctive relief provisions are intentionally omitted as they are not germane to this filing.]
IX. GENERAL PROVISIONS
9.1 Amendments.
Any amendment or correction to this Statement shall be effected by filing an appropriate statement or certificate with the New Hampshire Secretary of State in accordance with RSA 293-A:1.20 and 5.02.
9.2 Severability.
If any provision of this Statement is held invalid or unenforceable, such invalidity shall not affect other provisions that can be given effect without the invalid provision.
9.3 Entire Filing.
This Statement, together with the Registered Agent’s written consent in Section X, constitutes the entire filing required to appoint or change a Registered Agent under New Hampshire law.
9.4 Electronic Signatures & Counterparts.
This Statement may be executed in counterparts and by electronic signature, each of which shall be deemed an original and all of which together constitute one instrument.
X. EXECUTION BLOCK
10.1 Authorized Signature – Business Entity
| Date: | [MM / DD / YYYY] |
| Name of Authorized Signatory: | [PRINTED NAME] |
| Title / Capacity: | [e.g., President, Manager, Partner] |
| Signature: | _______ |
10.2 Acceptance of Appointment – Registered Agent
Pursuant to RSA 293-A:5.01, the undersigned hereby accepts the appointment as Registered Agent and acknowledges that the obligations set forth in Section 4.2(b) and Section 5.2 apply.
| Date: | [MM / DD / YYYY] |
| Registered Agent Name: | [PRINTED NAME OR ENTITY NAME] |
| Signature: | _______ |
| Printed Name & Title (if signing for entity): | [NAME / TITLE] |
[// GUIDANCE: If the Registered Agent is an entity, an authorized officer must sign and print their title. Ensure that the agent’s signature is separate from that of the Business Entity’s signatory.]
(OPTIONAL) INTERNAL CORPORATE/BUSINESS ENTITY RESOLUTION
[Delete this Part if the entity’s governing documents already delegate authority to any officer or manager to file statutory forms.]
“RESOLVED, that the [Board of Directors | Managers | Partners | Trustees] of the Business Entity hereby authorize and direct [NAME/TITLE] to execute, deliver, and cause to be filed with the New Hampshire Secretary of State the Statement of Appointment or Change of Registered Agent and Registered Office in substantially the form presented to this meeting, with such non-material changes as such officer shall determine advisable, and to take any and all other actions deemed necessary or desirable to effectuate the foregoing resolution.”
Certified by: __________
[Corporate Secretary / Clerk] Date: [MM / DD / YYYY]
Filing Checklist
- Signed Statement (Sections I–X)
- Filing Fee: $[Current Fee] payable to “State of New Hampshire – Treasurer”
- Cover Letter (Secretary of State form optional)
- If mailed, include self-addressed stamped envelope for acknowledgment copy.
- Verify that the Registered Agent’s name and address exactly match the Secretary of State’s corporate database spelling to avoid rejection.
[// GUIDANCE: Check the NH Department of State website for up-to-date fees and mandatory electronic filing requirements, which may vary by entity type. Electronic filings normally accept PDF scan of wet-ink signatures or approved e-signatures.]
End of Document