Form Scc760/922 - Application For An Amended Certificate Of Authority To Transact Business In Virginia

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COMMONWEALTH OF VIRGINIA
FILING
STATE CORPORATION COMMISSION
FEE:
APPLICATION FOR AN AMENDED CERTIFICATE
SCC760/922
$25.00
OF AUTHORITY TO TRANSACT BUSINESS IN VIRGINIA
(08/16)
The undersigned, on behalf of the foreign corporation named 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:
1. According to the records of the Commission (prior to the filing of this application):
A. The name of the corporation is
________________________________________________________________________.
B. The corporation adopted the following designated name for use in Virginia (because its real
name was not available):
(Leave blank if no designated name was adopted.)
________________________________________________________________________.
C. The name of the state or other jurisdiction under whose law the corporation is
incorporated is ____________________________________________________________.
2. The application is submitted for the purpose of amending the Commission’s records as follows:
A. The name of the corporation has been changed to
________________________________________________________________________.
B. The corporation desires to
(Mark appropriate box and complete, if appropriate.)
Adopt the following designated name for use in Virginia (because its new name is not
available): _______________________________________________________________.
Change its designated name for use in Virginia to
________________________________________________________________________.
Abandon the use of its designated name in Virginia.
C. The name of the state or other jurisdiction under whose law the corporation is incorporated
has been changed to _______________________________________________________.
Signed in the name of the corporation by:
__________________________________________
_________________________
(signature)
(date)
__________________________________________
_________________________
(printed name)
(corporate title)
__________________________________________
_________________________
(corporation’s SCC ID no.)
(telephone number (optional))
(The application must be signed by the chairman or any vice-chairman of the board of directors,
the president, or any officer who is authorized to act on behalf of the corporation.)
Personal Information, such as a social security number, should NOT be included in a business entity document submitted to the Office of the
Clerk for filing with the Commission. For more information, see Notice Regarding Personal Identifiable Information at
REVIEW THE INSTRUCTIONS BEFORE SUBMITTING THIS FORM.

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