Form K.s.a. 17-7683 - Limited Liability Company Certificate Of Correction - Secretary Of State, State Of Kansas

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Contact Information
KANSAS SECRETARY OF STATE
CT
Kansas Secretary of State
Limited Liability Company Certificate of Correction
Ron Thornburgh
53-05
Memorial Hall, 1st Floor
All information must be completed or this document will not be accepted for filing.
120 S.W. 10th Avenue
Topeka, KS 66612-1594
(785) 296-4564
Print
Reset
Please complete the form, print, sign and
mail to the Kansas Secretary of State with
the filing fee. Selecting 'Print' will print
1. Name of the limited liability company:
the form and 'Reset' will clear the entire
_______________________________________________________
form.
Name must match the name on record with the secretary of state
Do not write in this space
2. State of organization: ____________________________________
3. Specify the inaccuracy or defect in the articles or certificate that is to be corrected:
____________________________________________________________________________________________________________
___________________________________________________________________________________________________________
____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
4. Set forth the portion of the articles or certificate in its corrected form:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct.
Executed on the __________ of ____________ , ____________
.
Day
Month
Year
Authorized person
Instruction
Submit this form with the $35 filing fee.
Notice: There is a $25 service fee for all returned checks.
Rev. 12/06/04 jb
Rev. 8/11/03 amc
K.S.A. 17-7683

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