Application For Amended Certificate Of Authority - Secretary Of State Of The State Of Idaho
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APPLICATION FOR AMENDED
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CERTIFICATE OF AUTHORITY
(Instructions on back of application)
To the Secretary of State of the State of Idaho:
Pursuant to Section 30-1-1504, Idaho Code, the undersigned Corporation
hereby applies for an amended certificate of authority to transact business in
the State of Idaho and for that purpose submits the following statement.
Complete only applicable items.
1. A Certificate of Authority was issued to the corporation by your office on: ___________________________ ,
authorizing it to transact business in the State of Idaho under the name of:
___________________________________________________________________________________ .
2. Its corporate name has been changed to: ___________________________________________________ .
3. The name which it shall use hereafter in the State of Idaho is:
___________________________________________________________________________________
4. It has changed its jurisdiction of incorporation, without a change of corporate identity to: _______________ .
5. The address of its principal office is amended to:
___________________________________________________________________________________
Dated: __________________________ Corporation Name: _______________________________________
Signature: _________________________________________________________
Typed Name: _________________________________________________________
Capacity: _________________________________________________________
Customer Acct # :
(if using pre-paid account)
Secretary of State use only
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