Foreign Statutory Trust Application For Amended Certificate Of Authority - Wyoming Secretary Of State - 2015

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Ed 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
Foreign Statutory Trust
Application for Amended Certificate of Authority
Pursuant to W.S. 17-16-1504 the undersigned statutory trust company hereby applies for an Amended Certificate of
Authority.
Current Information on File:
1. Name of the corporation:
2. Organized under the laws of:
(State or country)
3. Period of duration:
(This is referring to the length of time the statutory trust intends to exist and not the length of time it has been in existence. The most common
term used is “perpetual.”)
Amended Information:
(Check all that apply and enter the changes in the appropriate fields.)
4.
New company name:
5.
New state or country of organization:
6.
New period of duration:
Trustee Signature: ____________________________________
Date:
(mm/dd/yyyy)
Print Name:
Contact Person:
Email:
Daytime Phone Number:
(Email provided will receive annual report reminders and filing evidence.)
*May list multiple email addresses
FST-AmendedCertificateAuthority – Revised October 2015

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