Certificate Change Of Name Religious Corporation Or Religious Society Form

Certificate Change Of Name Religious Corporation Or Religious Society Form - Connecticut

CERTIFICATE CHANGE OF NAME

RELIGIOUS CORPORATION OR RELIGIOUS SOCIETY

Office of the Secretary of the State

MAILING ADDRESS:

DELIVERY ADDRESS:

Commercial Recording Division

Connecticut Secretary of the State

P.O. Box 150470

30 Trinity Street

Hartford, CT 06115-0470

Hartford, CT 06106

860-509-6003

FEE: $20.00

Make Checks Payable to “Secretary of the State”

The undersigned hereby certifies that

(1)

At a meeting of ____________________________________________________

a (religious society) (religious corporation), warned and held for this purpose, it

was voted to change the name of said (religious society) (religious corporation)

to ______________________________________________________________

(2)

The undersigned is the person authorized by said (religious society) (religious

corporation) to execute this certificate.

Dated at ________________________ this _______________ day of _________________.

_______________________________________

Residence Address: _____________________

Name & Title (Clerk, Secretary or other Officer)

_____________________________________

[Please type or block print]

_____________________________________

(P.O. box is not acceptable)

Signature: _____________________________

State of Connecticut)

) SS:

County of

)

Personally appeared ________________________________________, __________________, of

Name

Title

________________________________________________ and made oath to the truth of the

Name of Religious Society or Corporation

above certificate.

_____________________________________

Notary or Commissioner of the Superior Court

Rev. 12/07/09

Certificate Change Of Name Religious Corporation Or Religious Society Form - Connecticut

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