Form Scc760/922 - Application For An Amended Certificate

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COMMONWEALTH OF VIRGINIA
SCC760/922
STATE CORPORATION COMMISSION
(10/01)
APPLICATION FOR AN AMENDED CERTIFICATE
OF AUTHORITY TO TRANSACT BUSINESS IN VIRGINIA
This application of a foreign corporation authorized to transact business in Virginia for an
amended certificate of authority sets forth:
The former name of the corporation was ________________________________
_________________________________________________________________________.
The present name of the corporation is __________________________________
_________________________________________________________________________.
If the corporation is a stock corporation and the present name of the corporation does not
contain the word "corporation," "company," "incorporated" or "limited," or an abbreviation of
one of such words, or if the corporation’s present name is not available for use in Virginia, the
name of the corporation with the word or abbreviation which it has elected to add thereto for
use in Virginia, or the name designated by the corporation for use in Virginia, is
_________________________________________________________________________.
The name of the state or country under whose law the corporation is presently
incorporated is _________________________________.
The name of the state or country under whose law the corporation was formerly
incorporated (if changed by the enclosed amendment) is ____________________________.
The undersigned chairman or vice-chairman of the board of directors, president, or any
other of its officers authorized to act on behalf of the corporation, declares that the facts
herein stated are true as of ______________________________.
____________________________________________________________________
(Present name of corporation)
By: ___________________________ ____________________________________
(Signature)
(Printed name and corporate title)
See instructions on the reverse.

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