Fillable STATE OF ALABAMA DOMESTIC LIMITED LIABILITY COMPANY (LLC) (State of Alabama)

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STATE OF ALABAMA DOMESTIC LIMITED LIABILITY COMPANY (LLC) (State of Alabama)

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DLLC Amendment - 1/2022 page 1 of 2
STATE OF ALABAMA
DOMESTIC LIMITED LIABILITY COMPANY (LLC)
CERTIFICATE OF AMENDMENT
PURPOSE: In order to amend a Limited Liability Company’s (LLC) Certificate of Formation under Section
10A-5A-2.02 of the Code of Alabama 1975, this Certificate of Amendment and the appropriate filing fees must be
filed with the Office of the Secretary of State.
INSTRUCTIONS: Mail 2 copies of this completed form along with a self-addressed, stamped envelope to:
*Secretary of State, Business Services, P.O. Box 5616, Montgomery, Alabama 36103.
*Include a check, money order, or credit card payment for the $100.00 processing fee.
*The request is only accepted via mail or courier and will not be accepted via email.
*You may file the amendment online in the time it takes to type this request.
*Your filing will not be indexed if the credit/debit card does not authorize and will be removed from the index if the
check is dishonored ($30 fee).
2. The date the Certificate of Formation was filed:
/
/
(MM/DD/YYYY)
3. Alabama Entity ID Number (Format: 000-000-000):
TO OBTAIN ID NUMBER,
go
to our website at www.sos.alabama.gov, click on Business Services (below picture), click on Business Entity
and Name Search, click on Entity Name, enter the name of the entity in the appropriate box, and enter. Click on the
number and verify that this is the correct entity. This step is strongly recommended.
This form was prepared by: (type name and full address)
(For SOS Use Only
)
This form must be typed and will not be accepted via email.
1. The current recorded name of the Limited Liability Company:
- -
000
DOMESTIC LIMITED LIABILITY COMPANY AMENDMENT
DLLC Amendment - 1/2022 Page 2 of 2
4. The following amendment was adopted on
/ /
(MM/DD/YYYY):
Additional Amendments and the dates on which they were adopted are attached.
5. The undersigned authorized signature certifies that the amendment or amendments have been approved in the manner
required by Title 10A of the Code of Alabama of 1975 and the governing documents of this entity.
Date (MM/DD/YYYY)
Signature as required by 10A-5A-2.04
Typed name of above signature
Typed title/capacity to sign under 10A-5A-2.04
*Be very specific about what must be changed if you are amending existing information.
*If the amendment includes a name change, a copy of the Name Reservation Certificate issued by the Office of
Secretary of State must be attached.
*Registered agents and registered agent addresses are changed by filing a Change Of Registered Agent Or Registered
Office By Entity form directly with the Office of the Secretary of State (the new agent’s signature is required agreeing to
accept responsibility). Agent information will NOT be changed with an amendment.
/
/
Domestic Amendment Credit Card/Prepaid Account Payment Slip – 1/2022
Secretary of State Credit Card or Prepaid Payment Option/Return/Hold Sheet: : If you do not send
an acknowledgement copy and a pre-addressed postage paid envelope with the filing you will not receive
a receipt from the Secretary of State’s Office. Hold for pickup request will have the receipt attached. The
document of record will be stamped showing the receipt of the filing fee but will not show convenience
fees (generally these fees are between 2% and 5% of the total charge).
Information MUST be typed or filing will be returned without review.
-
Entity Name:
AL Entity ID #, required for all filings other than formation/registration:
Service Requested: X $100.00 Amendment filing fee
Hold at Front Desk for pick-up by:
There is no notification service/call for pick-up.
Choose one of the following:
Check/money order is attached-Please make one check payable for each filing to the Alabama
Secretary of State. Do not use one check for multiple filings.
Charge fees to prepaid account: Account Number
and Account Name
Typed Name & Signature of Authorized Individual on Account
(Visa, MC, Discover & AmEx)
Expiration Mo/Yr.: / (MM/YY)
Credit Card Type:
Card Number:
Card Holder Name:
Complete Billing Address:
Street or PO Box
City State Zip
Signature of Card Holder:
MUST be Signature of Card Holder
-
(ex: 000-000-000)
000
✔
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STATE OF ALABAMA DOMESTIC LIMITED LIABILITY COMPANY (LLC) (State of Alabama)

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Completed 27 April 2022

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