Fillable Delaware Division of Corporations 401 Federal Street Suite (Department of Technology and Information)

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Delaware Division of Corporations 401 Federal Street Suite (Department of Technology and Information)

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Certificate of Amendment for
Limited Liability Company
Delaware Division of Corporations
401 Federal Street – Suite 4
Dover, DE 19901
Ph: 302-739-3073
Dear Sir or Madam:
Enclosed please find a form for a Certificate of Amendment for a Delaware
Limited Liability Company to be filed in accordance with the Limited Liability Company
Act of the State of Delaware. The fee to file the Certificate is $200 and you will receive a
stamped “Filed” copy of your submitted document. A certified copy may be requested
for an additional $50.00. Expedited services are available. Please contact our office
concerning these fees. Please make your check payable to the “Delaware Secretary of
State”.
For the convenience of processing your order in a timely manner, please include a
cover letter with your name, address and telephone/fax number to enable us to contact
you if necessary. Please make sure you thoroughly complete all information requested on
this form. It is important that the execution be legible, we request that you print or type
your name under the signature line.
Thank you for choosing Delaware as your corporate home. Should you require
further assistance in this or any other matter, please don’t hesitate to call us at (302) 739-
3073.
Sincerely,
Department of State
Division of Corporations
encl.
rev. 7/03
_________________________________________________________________
STATE OF DELAWARE
CERTIFICATE OF AMENDMENT
1. Name of Limited Liability Company: __________________________________
2. The Certificate of Formation of the limited liability company is hereby amended
as follows:
IN WITNESS WHEREOF, the undersigned have executed this Certificate on
the ________________ day of ________________________, A.D. ______.
Name:________________________________
Print or Type
By:___________________________________
Authorized Person(s)
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Delaware Division of Corporations 401 Federal Street Suite (Department of Technology and Information)

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Completed 5 August 2021

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