Business Changes Form

Business Changes Form

Company Name:    Company Registration Number:

Other Party Name:    Contact Person:

Recitals

WHEREAS, Company Name represents that it is duly organized and validly existing under the laws of its jurisdiction and is authorized to make the business changes described herein; and

WHEREAS, Other Party Name provides services and administrative support to Company Name and both parties desire to record and effect specified changes to the Company's business records, contacts, and operational details on the terms set forth in this instrument; and

WHEREAS, the parties intend for this Business Changes Form to memorialize authorized changes, designate an effective date, and establish the administrative, payment, confidentiality, and governing terms that will apply to such changes.

Scope of Changes

Change Details

Effective Date of Changes:

Select type(s) of change (check all that apply):

Business name change
Registered address change
Mailing address change
Ownership / equity change
Director / officer change
Entity type change (e.g., LLC to Corporation)

Payment Terms

Any administrative or processing fee for the changes: $

Late fee for overdue payments:

Term and Termination

This Business Changes Form is effective as of: and shall remain in effect until: unless earlier terminated in accordance with this section.

Either party may terminate this Form for convenience upon written notice to the other party delivered not less than days prior to the intended termination date. Termination shall not affect obligations incurred prior to the effective date of termination, including payment obligations for services performed or changes processed.

Confidentiality

Each party agrees that any non-public information obtained in connection with the requested changes, including but not limited to ownership records, financial details, and contact information, shall be held in strict confidence and shall not be disclosed except (i) as required by applicable law or regulatory authority, (ii) with the prior written consent of the disclosing party, or (iii) to that party's professional advisors on a need-to-know basis under a duty of confidentiality. Reasonable measures shall be taken to protect such information against unauthorized access or disclosure.

Acknowledgement of Confidentiality: I acknowledge and agree to the confidentiality obligations set forth above.

Governing Law

This Form shall be governed by and construed in accordance with the laws of the State of , without regard to conflict of law principles. Any disputes arising out of or related to this Form shall be subject to the exclusive jurisdiction of the courts located within that state unless otherwise agreed in writing.

Entire Agreement

This Business Changes Form, together with any schedules or attachments executed by the parties, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written. No amendment, modification or waiver shall be effective unless in writing and signed by authorized representatives of both parties.

Certifications and Authorization

By signing below, the undersigned representatives certify that they are duly authorized to execute this Business Changes Form on behalf of their respective parties and that the information provided herein is true and correct to the best of their knowledge.

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