Fillable Form 1.: AMENDMENT OF ASSUMED BUSINESS NAME CERTIFICATE (North Carolina Secretary of State)

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Form 1.: AMENDMENT OF ASSUMED BUSINESS NAME CERTIFICATE (North Carolina Secretary of State)

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AMENDMENT OF ASSUMED BUSINESS NAME CERTIFICATE (NCGS 66-71.7)
(Please print legibly.)
1.
The assumed business name previously registered is:
2. The real name of the person or entity engaging in business under the assumed business name
is:
(Corporations, LLC’s, limited partnerships must provide their NC
www.sosnc.gov/br/search
SOSID number with the exact name they registered with the Secretary of
State’s office. Go to to look up this information.)
3. The book and page number of the initial filing that is being amended is: Book , Page .
4. The identification number assigned to the assumed business name by the Secretary of State (SOS ID) is:
(Go to www.sosnc.gov/abn/search to look up this number.)
5. The current mailing address of the business: __________________________________________________
6. The certificate of assumed business name should be amended by changing the following information:
(Check all that apply and provide new information in the space provided below.):
□
Change assumed business name
□
Add real name of person engaging in business under assumed business name
□
Delete real name of person engaging in business under assumed business name
□
Change nature of business
□
Change street address of principal place of business
□
Change mailing address
□
Add counties where assumed business name will be used to engage in business
□
Delete counties where assumed business name will be used to engage in business
7. Provide new information here: □ Add/□ Delete/□ Change
□
Add/□ Delete/□ Change
(Attach additional pages if needed.)
This certificate is signed by the owner/legal representative of the person named above,
this day of , 20 .
Signature:
Title:
(See instructions for who must sign for various business entity types.)
Amendment of ABN Certificate 03.06.18
Instructions for Amending an Assumed Business Name Certificate
You must file any amendment in the SAME COUNTY as the initial filing.
Item 1: Enter the assumed business name to which this amendment applies, as stated on the initial or
most recently amended assumed business name certificate.
Item 2: Enter a real name of the person or entity engaging in business under the assumed business
name as stated on the initial or most recently amended assumed business name certificate.
Item 3: Enter the book and page number of the initial filing to which the amendment applies. The book
and page will be stamped at the top of the original certificate returned to you after recording.
Item 4: Enter the SOS ID number that was assigned by the NC Secretary of State. You may find this
information on the Secretary of State’s website at www.sosnc.gov/abn/search
.
Item 5: Enter the current mailing address of the business.
Item 6: Indicate the information that you are amending by checking the block next to each selection.
Item 7: Enter the new information in the blank spaces provided, checking whether you are adding,
deleting or changing each entry. You may attach additional pages if needed.
Execution of Certificate: Enter the date that you signed the certificate. Certificates must be signed by a
person with the capacity listed below on behalf of the person(s) named in Item 2:
• Sole proprietorship: must be signed by the individual; title as “sole proprietor” or “owner”.
• General Partnership: must be signed by a general partner.
• Limited partnership: must be signed by a general partner.
• Corporation: must be signed by an officer of the corporation.
• Limited Liability Company: must be signed by a manager, director or officer of the LLC.
• Trust: must be signed by a trustee or other person authorized to act on behalf of the trust.
•
In the case of any other legal entity, the certificate must be signed in the name of the entity
by an individual authorized to act for the entity.
Please note:
1. You must file a Certificate of Amendment within sixty (60) days of change of any information
provided on this form. (See NCGS § 66-71.7)
2. Knowingly signing a certificate that is false in any material respect is a Class 1 misdemeanor.
(See NCGS § 66-71.14)
Instructions for Amendment of ABN Certificate 03.06.18
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Form 1.: AMENDMENT OF ASSUMED BUSINESS NAME CERTIFICATE (North Carolina Secretary of State)

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Completed 24 November 2020

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