Registered Agent Change/Designation

VERMONT REGISTERED AGENT CHANGE WORKSHEET

Use this worksheet to prepare a Change of Registered Agent filing with the Vermont Secretary of State, Business Services Division. Submit the current online filing or official paper form, not this worksheet.

This worksheet is for an entity or registrant changing its own agent information under 11 V.S.A. § 1655(c). It is not an initial registration, an agent's bulk statement of change, or an agent's statement of resignation.

1. ENTITY OR REGISTRANT

Exact registered name: [________________________________]

Vermont business identification number: [________________________________]

Registration type:

☐ Business corporation

☐ Nonprofit corporation

☐ Limited liability company

☐ Partnership entity

☐ Assumed business name

☐ Telemarketer registration

☐ Other: [________________________________]

☐ Name and identification number checked against the Secretary of State's current record

2. CURRENT AGENT INFORMATION

Section 1655(c) requires the statement of change to provide the current agent information.

Current agent name: [________________________________]

Current agent email: [________________________________]

Current physical or registered-office address:

[________________________________]

[________________________________], Vermont [________]

Current mailing address, if different:

[________________________________]

[________________________________], Vermont [________]

☐ Current agent information copied from the Secretary of State's record

3. CHANGES REQUESTED

Section 1655(c) permits a registrant to change its agent for service of process or the agent's email or address information by specifying the changes in a filed statement of change.

Select every item that will change:

☐ Agent name

New agent name: [________________________________]

☐ Agent email

New agent email: [________________________________]

☐ Agent physical address, also called the registered office

New physical address:

[________________________________]

[________________________________], Vermont [________]

☐ Agent mailing address

New mailing address:

[________________________________]

[________________________________], Vermont [________]

☐ Each unchanged item will remain as shown in the current state record

4. NEW AGENT QUALIFICATION

If the agent will change, select the applicable qualification under § 1655(a):

☐ Individual agent — the individual is a Vermont resident and has street and mailing addresses in Vermont

☐ Business-organization agent — the organization has a place of business in Vermont and is authorized to conduct business in Vermont

For a business-organization agent, the Secretary of State's current guidance also requires that the agent be registered and active, not an assumed business name, and not the represented business itself.

☐ Business-organization agent's active status checked in the Vermont business search

For a business corporation, 11A V.S.A. § 5.01 requires the registered agent's business office to be identical with the corporation's registered office.

☐ Address requirements checked for the selected registration type

5. CONSENT ATTESTATION

Under § 1655(b), a person who designates an agent attests that the agent consents to the appointment.

☐ New agent consent obtained before submission

Consent record retained at: [________________________________]

Section 1655 does not require the entity's statement of change to contain a separate contract, private covenant, notary acknowledgment, or registered-agent service agreement. Complete the attestation and authorization presented by the current official filing system or paper form.

6. FILING ROUTE AND FEE

Online filing:

☐ Sign in to the Vermont Online Business Service Center

☐ Select the registered-office or registered-agent filing for the correct record

☐ Enter the current agent information and each requested change

☐ Review the consent attestation and submitter authorization

Paper filing:

☐ Request the current paper form from the Business Services Division

☐ Complete the current form and deliver it by mail

The Secretary of State states that paper business forms are available by request rather than online. Filing fees vary by registration type; confirm the current fee on the Business Services fee page or in the online filing before payment. There is no additional fee merely for filing online.

7. FINAL REVIEW

☐ Current agent name, email, physical address, and mailing address entered

☐ Every requested change entered

☐ New agent meets the applicable Vermont qualification

☐ New agent consent confirmed

☐ Correct entity or registration record selected

☐ Current fee confirmed

☐ Exact online attestation or paper-form signature requirement completed

☐ No unsupported delayed effective date added

☐ No notary block added unless the current official filing expressly requires one

8. POST-FILING RECORD

Submission date: [__/__/____]

Acceptance date: [__/__/____]

Filing or transaction number: [________________________________]

Effective date shown by the accepted filing: [__/__/____]

☐ Accepted filing retained with entity records

☐ New agent received current entity contact information

☐ Internal compliance records updated

SOURCES AND REFERENCES

• Vermont Statutes Online — 11 V.S.A. § 1655
• Vermont Statutes Online — 11A V.S.A. § 5.01
• Vermont Statutes Online — 11A V.S.A. § 5.02
• 2025 H.243 as passed by the House and Senate — Act No. 10
• Vermont Secretary of State — Registered Office and Agent Filings
• Vermont Secretary of State — Business Filings
• Vermont Secretary of State — Business Services Fees