Certificate Of Amendment Domestic Statutory Trust - Connecticut Secretary Of The State

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CERTIFICATE OF AMENDMENT
DOMESTIC STATUTORY TRUST
Office of the Secretary of the State
MAILING ADDRESS:
DELIVERY ADDRESS:
Commercial Recording Division
Commercial Recording Division
Connecticut Secretary of the State
Connecticut Secretary of the State
P.O. Box 150470
30 Trinity Street
Hartford, CT 06115-0470
Hartford, CT 06106
860-509-6003
860-509-6003
Filing Fee: $60.00
Make Checks Payable To “Secretary of the State”
Space for Office Use Only
1. NAME OF STATUTORY TRUST:
_____/_____/______
2. THE DATE OF FILING OF THE ORIGINAL CERTIFICATE OF TRUST:
:
3. THE CERTIFICATE OF TRUST IS (choose one of the following)
___Amended
___Amended and Restated (Please set forth amendments below and attach restated certificate)
___Restated ( Please attach restated certificate)
:
4. TEXT OF EACH AMENDMENT
5. EXECUTION BY TRUSTEE:
Dated this _________________day of ____________________, 20_______.
Type or print name of signing trustee
Signature
Reference an 8 1/2 X 11 attachment if additional space is required
Rev. 08/23/2007

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