Change Registered Agent + Premium Virtual Address |

Business Information

Company Name*

Entity Type*

State of Formation*

Date of Formation (if known)

Registered Agent Status

Please let us know your current situation:*

I need Prime to serve as my Registered AgentI am switching to Prime from another Registered Agent

Current Registered Agent Name*

Reason for Switching (optional)

Your Contact Information

First Name*

Last Name*

Phone Number*

Email Address*

Address*

City*

State*

State / Province / Territory*

Zip Code*

Zip / Postal Code*

Country*

Create Online Account

Username*

Password*

Confirm Password*

Applicant Verification Details

Fill out your identification details below. We’ll generate your Form 1583 for you automatically. After signup, you’ll notarize the form and upload it with two forms of ID (photo ID + proof of address) in your dashboard.

Photo ID*

Applicant's ID Number*

Expiration Date on the ID*

Address ID*

USPS Form 1583 – Pre-Filled and Ready*

Required

Your Business Address:

(Your Business Name)
453 S Spring St, Suite 1212
Los Angeles, CA 90013

Order Summary
Registered Agent Service
Virtual Business Address
Unlimited Mail Scans / Year
Private Mailbox Number (PMB)

Today’s Total: $149.00 Auto Renews at $149/year.

Authorization & Agreement*

I acknowledge that all sales are final and non-refundable once services are activated.