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STATE OF MONTANA

(This space for use by the Secretary of State only)

APPLICATION for AMENDMENT to

REGISTRATION of ASSUMED BUSINESS

NAME or LIMITED LIABILITY PARTNERSHIP

(30-13-210, MCA)

MAIL:

BOB BROWN

Secretary of State

P.O. Box 202801

Helena, MT 59620-2801

Form: ABN-3

PHONE:

(406)444-3665

Filing Fee: $20

FAX:

(406)444-3976

* *

WEB SITE:

Priority Filing Fee Add $20.00

LEASE CHECK ONE BOX

Amendment of ABN(30-13-210, MCA) $20.00

Amendment of LLP(30-13-210, MCA) $20.00

: The complete current name of ABN or LLP is: ____________________________________________

IRST

* *

The complete new name if amended is: _____________________________________________________

: The name and address (including street name and number of the original registered

ECOND

applicant/owner is: ________________________________________________________________________

The name(s) and address(es) of persons no longer transacting or having an interest in the business being conducted

under this name are:

(State reason which could include withdrawal or death)

_________________________________________________________________________________________

The name(s) and address(es) of new persons or entities transacting or having an interest in the business being

conducted under this name are:____________________________________________________________

__________________________________________________________________________________________

: The new applicant is (check one and complete where appropriate, for ABN only)

HIRD

An Individual

A Partnership

(Attach list of names and addresses of partners)

A Corporation

A Limited Liability Company

An Association

(Attach list of names and addresses of members)

A Limited Liability Partnership

(Attach list of names and addresses of members)

: The description of business is amended to read:_________________________________________

OURTH

: This amendment supersedes the original registration and all amendment thereto.

IFTH

HEREBY SWEAR AND AFFIRM

under penalty of law, that the facts contained in this application are true.

__________________________________________________________________________________________

Signature of Original Applicant

Date

Please be advised that the Business Services Bureau of the Montana Secretary of State will process your business documents

within 10 working days of initial receipt. During this period if it is determined that your document does not meet statutory

requirements, a letter outlining the deficiencies will be returned to the original submitter. If the document is complete and

correct, the document will be filed and an acknowledgment copy showing completion returned to the original submitter.

s:\forms\abn-3

Revised:1/2/2001

Form Abn-3 - Application For Amendment To Registration Of Assumed Business Name Or Limited Liability Partnership

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