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COMMONWEALTH OF VIRGINIA
SCC760/922
STATE CORPORATION COMMISSION
(07/07)
APPLICATION FOR AN AMENDED CERTIFICATE
OF AUTHORITY TO TRANSACT BUSINESS IN VIRGINIA
The undersigned, on behalf of the foreign corporation set forth below, pursuant to § 13.1-760
or § 13.1-922 of the Code of Virginia, hereby makes this application for an amended certificate of
authority to transact business in Virginia and states as follows:
The former name of the corporation was
_________________________________________________________________________
_________________________________________________________________________.
The present name of the corporation is
_________________________________________________________________________
_________________________________________________________________________.
If the corporation’s present name is not available for use in Virginia or the corporation is a
stock corporation and its present name does not contain the word "corporation," "company,"
"incorporated" or "limited," or an abbreviation of one of such words, the designated name
adopted 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
instrument
submitted
herewith)
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.)
PRIVACY ADVISORY: Information such as social security number, date of birth, maiden name, or financial institution account numbers is NOT required to be included
in business entity documents filed with the Office of the Clerk of the Commission. Any information provided on these documents is subject to public viewing.
SEE INSTRUCTIONS ON THE REVERSE