Application For Amended Certificate Of Registration (Foreign Limited Liability Company) - Connecticut Secretary Of The State
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1APPLICATION FOR AMENDED CERTIFICATE
OF REGISTRATION
FOREIGN LIMITED LIABILITY COMPANY
Office of the Secretary of the State
30 Trinity Street / P.O. Box 150470 / Hartford, CT 06115-0470 / Rev. 03/01/2001
See reverse for instructions
Filing Fee: $60.00
Space For Office Use Only
1. NAME OF THE LIMITED LIABILITY COMPANY IN ITS STATE/COUNTRY OF FORMATION:
2. NAME UNDER WHICH THE LIMITED LIABILITY COMPANY TRANSACTS BUSINESS IN
CONNECTICUT (if different than name stated in 1 above):
3. STATE/COUNTRY OF FORMATION:
4. AMENDMENT(S) TO THE CERTIFICATE OF REGISTRATION:
(Reference an 8 1/2 X 11 attachment if additional space is needed)
5. EXECUTION:
Dated this _____ day of _________, 20______.
Print or type name of signatory
Capacity of signatory
Signature
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