Application For An Amended Certificate Of Authority To Transact Business In Virginia Form
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1COMMONWEALTH OF VIRGINIA
SCC760/922
STATE CORPORATION COMMISSION
(07/05)
APPLICATION FOR AN AMENDED CERTIFICATE
Clear Form
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OF AUTHORITY TO TRANSACT BUSINESS IN VIRGINIA
This application of a foreign corporation authorized to transact business in Virginia for an
amended certificate of authority sets forth:
The former name of the corporation was ______________________________________
_________________________________________________________________________.
The present name of the corporation is _______________________________________
_________________________________________________________________________.
If the corporation is a stock corporation and the present name of the corporation does not
contain the word "corporation," "company," "incorporated" or "limited," or an abbreviation of
one of such words, or if the corporation’s present name is not available for use in Virginia,
the name of the corporation with the word or abbreviation which it has elected to add thereto
for use in Virginia, or the name designated by the corporation for use in Virginia, is
_________________________________________________________________________.
The name of the state or country under whose law the corporation is presently
incorporated is _________________________________.
The name of the state or country under whose law the corporation was formerly incorporated
(if changed by the enclosed amendment, merger or domestication) is _____________________.
Executed in the name of the corporation by:
__________________________________________
_________________________
(signature)
(date)
__________________________________________
_________________________
(printed name)
(corporate title)
__________________________________________
_________________________
(corporation’s SCC ID no.)
(telephone number (optional))
(The execution must be by the chairman or any vice-chairman of the board of directors, the
president, or any other of its officers authorized to act on behalf of the corporation.)
See instructions on the reverse.
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