Form K.s.a.17-6003 - Corrected Document
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1Contact Information
KANSAS SECRETARY OF STATE
COR
Kansas Secretary of State
Corrected Document
Ron Thornburgh
Memorial Hall, 1st Floor
120 S.W. 10th Avenue
All information must be completed or this document will not be accepted for filing.
Topeka, KS 66612
(785) 296-4564
Print
Reset
Please complete the form, print, sign and
1. Business entity name:
mail to the Kansas Secretary of State with
the filing fee. Selecting 'Print' will print the
form and 'Reset' will clear the entire form.
2. Business Entity ID No.:
Do not write in this space
3. Specify the filed document that needs to be corrected:
Provide the type and date of that filing.
4. Specify the inaccuracy or defect in the document to be corrected:
5. Attach the entire document in its corrected form:
Instructions
1. Submit this form with the entire corrected document and the filing fee appropriate to the document
being corrected.
2. Please contact the Customer Service Team at (785) 296-4564 if you have any questions.
Rev. 2/04/05 jls
K.S.A. 17-6003
1/1
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