Form L-112 - Restated And Amended Certificate Of Formation

L-112 Rev. 3/2013

New Jersey Division of Revenue & Enterprise Services

Restated and Amended Certificate of Formation

Limited Liability Company

To file electronically:

1. Enter the information requested below and sign by typing your name in the signature field. The form can only be filled in using the free Adobe

Acrobat Reader 9.1 or greater. (See the pages following this form for field by field instructions, and notes on delivery and processing of work requests.)

2. Click the "Add Attachments" button to add attachments if required (Check the field by field instructions to see if you must include an attachment(s)).

3. After the form has been filled in properly, please save a copy to your computer so that you can upload the form to the State of New Jersey Division of

Revenue & Enterprise Services Central Forms Repository Web application by following the instructions in the next step.

4. Click the "Open the Central Forms Repository Home Page to start the Form Submission Process" button at the bottom of the form.

(This action will launch the State of New Jersey Division of Revenue & Enterprise Services Central Forms Repository Web application. If you have not

created an account in the application, you will need to do so before using the online Web application. Once your account is created, please login to the

application and follow the instructions for submitting your form and payment online.)

This form may be used to restate and integrate, AND FURTHER AMEND, the Certificate of Formation

of a Limited Liability Company on file with the Department of the Treasury, as supplemented and

amended by any instrument that was executed and filed pursuant NJSA 42.

1. Name of Limited Liability Company: _____________________________________________________

2. NJ 10 digit ID Number:

______________________________________________________________

3. New LLC Name:

(If applicable) _______________________________________________________________

4. Other Provisions: _____________________________________________________________________

5. The Restated Certificate of Formation is amended as follows:

(Use attachments if required)

6. Attachments:

The undersigned represent(s) that this filing complies with State law as detailed in NJSA 42 and that they

are authorized to sign this form on behalf of the LLC.

Signature _____________________________________

Date ________________________

Name ________________________________________

Add Attachments

Open the Central Forms Repository Home Page to start the Form Submission Process

Form L-112 - Restated And Amended Certificate Of Formation - 2013

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