State Form 49462 - Application For Amended Certificate Of Authority For A Foreign Limited Liability Company - 2017

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APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY
SECRETARY OF STATE
FOR A FOREIGN LIMITED LIABILITY COMPANY
BUSINESS SERVICES DIVISION
302 West Washington Street, Room E018
State Form 49462 (R5 / 3-17)
Indianapolis, IN 46204
Approved by State Board of Accounts, 2017
Telephone: (317) 232-6576
INSTRUCTIONS:
1. Use 8 ½” x11” white paper for attachments.
2. Please TYPE or PRINT in INK.
3. Please visit our office on the web at
4. Make check or money order payable to the Secretary of State.
5. Submit original completed paperwork and payment to: 302 West Washington Street, Room E-018, Indianapolis, IN 46204.
NOTE:
This application must be accompanied by an original certificate of existence duly authenticated by the proper authority from the LLC's
domicillary state, within the last sixty (60) days.
INFORMATION CONTAINED ON THIS PAGE IS NOT PART OF THE PUBLIC RECORD.
Name of business
E-mail address of business (SOS use only)
RETURN DOCUMENTS TO:
Name
Street address, line 1
Street address, line 2
City
State
ZIP code
Telephone number
E-mail address (If different from above – SOS use only)
(
)

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