Form Cd 518 - Application For Amended Certificate Of Authority Of A Foreign Entity
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1CORPORATIONS DIVISION
Suite 315 West Tower
2 Martin Luther King Jr. Dr.
Atlanta, Georgia 30334-1530
(404) 656-2817
Application for Amended
Brian P. Kemp
Certificate of Authority of a
Secretary Of State
Foreign Entity
An amended certificate of authority must be obtained only if a foreign entity changes its name or its jurisdiction of
organization. Complete (where applicable) and return this form with a check made payable to the Secretary of State in
the amount of $20.00. Entity must be in “Active Compliance” status in order to use this form.
__________________________________________________________________________________
1. Entity Name
2. Entity Control No. __________________________________________________________________________
3. State/Country Of Jurisdiction
_____________________________________________________________
4. Date of Authorization In Georgia
_____________________________________________________________
5. Please Indicate Entity Type (Check One Box Only):
Corporation (Corporation Must Provide Certificate Of Existence From Home State With New Name)
Limited Liability Company
Limited Partnership
6. The name by which the entity will hereafter be known is:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
7. New Jurisdiction: ______________________________________________________________________
A T T E N T I O N :
I f a n y o t h e r i n f o r m a t i o n r e q u i r e d i n t h e
o r i g i n a l a p p l i c a t i o n f o r c e r t i f i c a t e o f a u t h o r i t y h a s
c h a n g e d , t h e e n t i t y h a s a n o b l i g a t i o n u n d e r G e o r g i a L a w t o
i n f o r m t h e S e c r e t a r y o f S t a t e o f s a i d c h a n g e s .
A t t a c h
a d d i t i o n a l p a g e s i f n e c e s s a r y .
S i g n e d B y :
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
A u t h o r i z e d S i g n a t u r e a n d T i t l e
D a t e
CD 518
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