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Amended Certificate Of Authority (Foreign Profit Corporation) Form. This is a Washington form and can be use in Corporation Secretary Of State.
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Foreign Profit Corporation
See attached detailed instructions
□ Filing Fee $30.00
□ Filing Fee with Expedited Service $80.00
UBI Number:
AMENDED CERTIFICATE OF AUTHORITY
Chapter 23B.10 RCW
SECTION 1
NAME OF CORPORATION: (as currently recorded with the Office of the Secretary of State)
NAME TO BE USED IN WASHINGTON STATE: (If different than above, resolution must be attached)
SECTION 2
STATE OR COUNTRY WHERE ORIGINALLY INCORPORATED:
DATE CERTIFICATE OF AUTHORITY WAS ISSUED IN WASHINGTON:
SECTION 3
AMENDMENTS TO CERTIFICATE: (if necessary, attach additional information)
In the event the change or changes include a name change to a name that does not meet the requirements of RCW
23B.15.060, a fictitious name for use in Washington, include a copy of the resolution of the board of directors, certified by
the corporation's secretary, adopting the fictitious name; and a copy of the document filed in the state or country of
incorporation showing that jurisdiction's "filed" stamp.
SECTION 4
SIGNATURE (see instructions page)
This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.
X __________________________________________________________________________
Signature
Printed Name/Title
Date
Phone Number
Profit Corporation – Amended Certificate
Washington Secretary of State
Revised 07/10
American LegalNet, Inc.
www.FormsWorkFlow.com
INSTRUCTIONS – AMENDED CERTIFICATE OF AUTHORITY
Please complete all sections of the Amended Certificate of Authority – Foreign Profit Corporations. USE DARK
INK ONLY. For an electronic, fillable version of this form, please visit our website at www.sos.wa.gov/corps
UBI Number: Please enter your existing Unified Business Identifier (UBI Number) as currently recorded with
the Office of the Secretary of State, in the box in the upper right hand corner of page 1.
Section 1
Enter the name of the corporation as recorded in the state/country of incorporation. Use of an alternate name
requires a resolution by the board of directors certified by its secretary. In accordance with RCW 23B.15.060 a
corporate name must contain one of the following words: Corporation, Incorporated, Limited or Company or
the abbreviation: Corp., Inc., Ltd. or Co. A corporate name must be distinguishable upon the records of the
Secretary of State from any other formally organized entity registered with the Secretary of State’s office. Use
of the word “Bank” or “Trust” must be approved prior to filing. It is advised that you contact the Secretary of
State (360-725-0377) to check for name availability before filing.
Section 2
Enter the state/country of the original incorporation and the date the Certificate of Authority was issued in
Washington.
Section 3
Indicate the text of your amendment here: If necessary, include an attachment with more detail. In the event
the change or changes include a name change to a name that does not meet the requirements of RCW
23B.15.060, a fictitious name for use in Washington, include a copy of the resolution of the board of directors,
certified by the corporation's secretary, adopting the fictitious name; and a copy of the document filed in the
state or country of incorporation showing that jurisdiction's "filed" stamp. Do not use this form to update
officers, directors, or the principal place of business. Please contact our office for the appropriate form
360-725-0377.
Section 4
The signer must be an officer (President, Vice President, Secretary or Treasurer) or an official with authorized
capacity on behalf of the corporation.
Additional Information:
FEES: The filing fee for Articles of Amendment is $30.00 If expedited service is requested, include an
additional $50.00 and write “EXPEDITE” on the outside of the envelope. Make the checks or money orders
payable to “Secretary of State”. (ALL fees are non-refundable)
Mail completed forms and payment to:
Secretary of State
Corporation Division
801 Capitol Way S
PO Box 40234
Olympia WA 98504-0234
If you have questions, need assistance, or would like to provide feedback please visit the Corporations Division
website at www.sos.wa.gov/corps or call 360-725-0377.
Profit Corporation – Amended Certificate
Washington Secretary of State
Print Form
Revised 07/10
American LegalNet, Inc.
www.FormsWorkFlow.com