Form Dscb:15-4126/6126-2 - Application For Amended Certificate Of Authority Foreign Corporation - 2002 Page 2

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DSCB:15-4126/6126-2

5. The corporation desires that its certificate of authority be amended to change the name under which it is

authorized to transact business in the Commonwealth of Pennsylvania to:

6. If the name set forth in Paragraph 5 is not available for use in this Commonwealth, complete the following:

The fictitious name which the corporation adopts for use in transacting business in this Commonwealth is:

The corporation shall do business in Pennsylvania only under such fictitious name pursuant to the attached

resolution of the board of directors under the applicable provisions of 15 Pa.C.S. (relating to corporations and

unincorporated associations) and the attached form DSCB:54-311 (Application for Registration of Fictitious

Name).

7. Check one of the following:

The change of name reflects a change effected in the jurisdiction of incorporation

Documents complying with the applicable provisions of 15 Pa.C.S. § 4123(b) or 6123(b) (relating to

exception; name) accompany this application.

IN TESTIMONY WHEREOF, the undersigned

corporation has caused this Application for an Amended

Certificate of Authority to be signed by a duly authorized

officer thereof this

day of

Name of Corporation

Signature

Title

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Form Dscb:15-4126/6126-2 - Application For Amended Certificate Of Authority Foreign Corporation - 2002 Page 2

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