Statutory Trust Certificate Of Amendment - Wyoming Secretary Of State
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1Ed Murray
Wyoming Secretary of State
2020 Carey Avenue, Suite 700
Cheyenne, WY 82002-0020
For Office Use Only
Ph. 307.777.7311
Fax 307.777.5339
Email:
Business@wyo.gov
Statutory Trust
Certificate of Amendment
1. Name of the statutory trust:
2. Amendment(s) to the certificate:
3. Future effective date or time of the certificate, if it is not to be effective upon the filing of the certificate:
(Date – mm/dd/yyyy)
4. The certificate of amendment shall be executed by at least one trustee.
Date:
Trustee Signature: ____________________________________
(mm/dd/yyyy)
Print Name:
Date:
Trustee Signature: ____________________________________
(mm/dd/yyyy)
Print Name:
Date:
Trustee Signature: ____________________________________
(mm/dd/yyyy)
Print Name:
Contact Person:
Daytime Phone Number:
Email:
(Email provided will receive filing evidence)
*May list multiple email addresses
Checklist
Filing Fee: $25.00 Make check or money order payable to Wyoming Secretary of State.
Please submit one originally signed.
Typical processing time is 3-5 business days following the date of receipt in our office.
Please review form prior to submitting to the Secretary of State to ensure all areas have been
completed to avoid a delay in the processing of your documents.
ST-Amendment - Revised October 2015
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