Application For Amended Certificate Of Registration Foreign Limited Liability Company
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1APPLICATION
FOR AMENDED CERTIFICATE
OF REGISTRATION
FOREIGN LIMITED LIABILITY
COMPANY
Office of the Secretary of the State
30 Trinity Street / P.O. Box 150470 / Hartford, CT 06115-0470 / Rev. 12/l 999
See reverse for instructions
Space For Office Use Only
1. NAME OF THE LIMITED LIABILITY
COMPANY IN ITS STATE/COUNTRY
OF FORMATION:
2. NAME UNDER WHICH THE LIMITED LIABILITY
COMPANY TRANSACTS BUSINESS IN
CONNECTICUT (if different than name stated in 1 above):
3. STATE/COUNTRY
OF FORMATION:
4. AMENDMENT(S)
TO THE CERTIFICATE OF REGISTRATION:
(Reference an 8 l/2 X 11 attachment if additional space is needed)
5. EXECUTION:
Dated this
day of
,20
.
Print or type name of signatory
Capacity of signatory
Signature
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