Application For Amended Certificate Of Authority
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1APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY
(profit or non-profit T.11A-B, §15.04)
Name as qualified in Vermont:
A corporation created and existing under the laws of the state (country) of:
Date of incorporation:
Duration (if not purpetual):
NAME OF REGISTERED AGENT:
street/po box
Registered office address:
City
VERMONT
Zip Code
Principal Office Address:
City
State
Zip Code
OFFICERS / DIRECTORS NAMES AND ADDRESSES:
Pres
Add
V.P.
Add
Sec
Add
Trea
Add
Dir
Add
Dir
Add
The corporate name is changed to:
State of Incorporation is changed to:
Duration is changed to:
Signature__________________________________________Title________________Date__________
A certificate of good standing (dated no earlier than 30 days prior to filing) MUST be attached
from the state of origin. Please file in duplicate.
FEE: $25.00
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