Certificate Of Correction Form - The Commonwealth Of Massachusetts

Download a blank fillable Certificate Of Correction Form - The Commonwealth Of Massachusetts in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Certificate Of Correction Form - The Commonwealth Of Massachusetts with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

IDENTIFICATION

NO. _____________________

No Fee

The Commonwealth of Massachusetts

Examiner

William Francis Galvin

Secretary of the Commonwealth

One Ashburton Place, Room 1717, Boston, Massachusetts 02108-1512

CERTIFICATE OF CORRECTION

(General Laws, Chapter 180, Section 3A)

1. Exact name of corporation:

2. Document to be corrected:

3. The above mentioned document was filed with the Secretary of the Commonwealth on

_________________________ , 20 ______ .

4. Please state the inaccuracy or defect in said document:

5. Please state corrected version of the document:

Note: This correction should be signed by the person(s) required by law to sign the original document.

SIGNED UNDER THE PENALTIES OF PERJURY, this ______ day of ____________________________ , 20 _______,

__________________________________________________________________________, *President / *Vice President,

______________________________________________________________, *Clerk / *Assistant Clerk / *Incorporator(s).

*Delete the inapplicable words.

Note: If the inaccuracy or defect to be corrected is not apparent on the face of the document, minutes of the meeting substantiating the error must be

filed with the certificate. Additional information may be provided on separate 8 1/2 x 11 sheets of white paper with a left margin of at least 1 inch.

P.C.

180ccorr 11/15/13