Form Cd 518 - Application For Amended Certificate Of Authority Of A Foreign Entity printable pdf download

Form Cd 518 - Application For Amended Certificate Of Authority Of A Foreign Entity

OFFICE OF SECRETARY OF STATE

CORPORATIONS DIVISION

237 Coliseum Drive

Macon, Georgia 31217-3858

(404) 656-2817

sos.georgia.gov/corporations

Brian P. Kemp

Secretary of State

APPLICATION FOR AMENDED

CERTIFICATE OF AUTHORITY

OF A FOREIGN ENTITY

An amended certificate of authority must be obtained only if a foreign entity changes its name or its jurisdiction of

organization. Complete (where applicable) and return this form with a check payable to “Secretary of State” in the

amount of $20.00.

1. Entity Name: ___________________________________________________________________________

2. Entity Control Number: ___________________________________________________________________

3. Entity Type (check one only):

Corporation

(Corporation must provide certificate of existence from home state with new name, if applicable.)

Limited Liability Company

Limited Partnership

Limited Liability Partnership

4. State/Country of Home Jurisdiction: ________________________________________________________

5. Date of Authorization in Georgia: __________________________________________________________

6. The name by which the entity will hereafter be known as is (if applicable):

_______________________________________________________________________________________

7. New Home Jurisdiction (if applicable): _______________________________________________________

ATTENTION: If any other information required in the original application for certificate of authority has changed, the

entity has an obligation under Georgia law to inform the Secretary of State of said changes. Attach additional pages

if necessary.

8. _______________________________________________________

________________________

Signature

Date

_______________________________________________________

Print Name

Signer’s Capacity (check one only):

Corporation:

Officer

Receiver or Trustee

Attorney-in-fact

LLC:

Member

Manager

Receiver or Trustee

Attorney-in-fact

LP:

General Partner

Receiver or Trustee

Attorney-in-fact

LLP:

General Partner

Receiver or Trustee

Attorney-in-fact

Email Address: _____________________________________________________________

Form CD 518

(Rev. 5/2014)

Form Cd 518 - Application For Amended Certificate Of Authority Of A Foreign Entity

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