Certificate Of Amendment
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Certificate Of Amendment Form. This is a Wyoming form and can be use in Corporations Secretary Of State.
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Tags: Certificate Of Amendment, Wyoming Secretary Of State, Corporations
Wyoming Secretary of State
State Capitol Building, Room 110
200 West 24th Street
Cheyenne, WY 82002-0020
Ph. 307.777.7311
Fax 307.777.5339
Email: business@state.wy.us
For Office Use Only
Statutory Trust
Certificate of Amendment
1. Name of the statutory trust:
2. Amendment(s) to the certificate:
3. Future effective date or time of the certificate, if it is not to be effective upon the filing of the certificate:
(Date – mm/dd/yyyy)
Date:
Trustee Signature: ____________________________________
(mm/dd/yyyy)
Print Name:
Date:
Trustee Signature: ____________________________________
(mm/dd/yyyy)
Print Name:
Date:
Trustee Signature: ____________________________________
(mm/dd/yyyy)
Print Name:
Contact Person:
Daytime Phone Number:
Checklist
Filing Fee: $25.00 Make check or money order payable to Wyoming Secretary of State.
The Certificate of Amendment shall be signed by at least one of the trustees.
Please submit one originally signed document and one exact photocopy of the filing.
Please review form prior to submitting to the Secretary of State to ensure all areas have been
completed to avoid a delay in the processing of your documents.
ST-Amendment - Revised 12/2008
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