Certificate Of Change (Foreign LLC) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Certificate Of Change (Foreign LLC) Form. This is a New York form and can be use in Corporations And Business Entities Secretary Of State.
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Tags: Certificate Of Change (Foreign LLC), DOS-1362, New York Secretary Of State, Corporations And Business Entities
New York State
Department of State
Division of Corporations, State Records and Uniform Commercial Code
One Commerce Plaza, 99 Washington Avenue
Albany, NY 12231
www.dos.state.ny.us
CERTIFICATE OF CHANGE
OF
(Insert Name of Foreign Limited Liability Company)
Under Section 804-A of the Limited Liability Company Law
FIRST: The name of the foreign limited liability company is:
If applicable, the fictitious name the foreign limited liability company has agreed to use in this
state is:
SECOND:
The application for authority was filed with the Department of State on:
THIRD: The change(s) effected hereby are: [Check appropriate statement(s)]
The county location, within this state, in which the office of the foreign limited liability company is
located, is changed to:
The address to which the Secretary of State shall forward copies of process accepted on behalf of the
foreign limited liability company is changed to read in its entirety as follows:
The foreign limited liability company hereby: [check one]
Designates
as its registered agent upon whom process against the foreign limited liability company may be
served. The street address of the registered agent is:
Changes the designation of its registered agent to:
The street address of the registered agent is:
.
Changes the address of its registered agent to:
Revokes the authority of its registered agent.
X
(Signature)
(Type or print name)
DOS-1362 (Rev. 5/08)
-1-
(Title of signer)
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CERTIFICATE OF CHANGE
OF
(Insert Name of Foreign Limited Liability Company)
Under Section 804-A of the Limited Liability Company Law
Filed by:
(Name)
(Mailing address)
(City, State and ZIP code)
NOTE: This form was prepared by the New York State Department of State for filing a certificate of change by a
foreign limited liability company. You are not required to use this form. You may draft your own form or use
forms available at legal supply stores. The Department of State recommends that legal documents be prepared under
the guidance of an attorney. The certificate must be submitted with a $30 filing fee made payable to the Department
of State.
(For office use only)
DOS-1362 (Rev. 5/08)
-2-
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