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This form must be typed and will not (State of Alabama)

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Domestic Correction - 1/2022 Page 1 of 2
STATE OF ALABAMA
DOMESTIC STATEMENT OF CORRECTION
PURPOSE: This Statement is to be used to correct an “incorrect” statement in a Domestic filing pursuant to
10A-1-4.23, Code of Alabama 1975.
INSTRUCTIONS: Mail 2 copies of this completed form along with a self-addressed, stamped envelope to:
2. Alabama Entity ID Number (Format: 000-000-000): TO OBTAIN ID NUMBER,
g
o 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.
3. Specify
the filing instrument to be corrected and the date of filing with the Secretary of State.
4. Specify the incorrect information and the reason it is incorrect or the manner in which the signing was defective
(specify attachment if necessary):
This fo
rm was prepared by: (type name and full address)
(For SOS Office Use Only)
1. The current recorded name of the entity:
*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.
*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).
This form must be typed and will not be accepted via email.
- -
000
DOMESTIC STATEMENT OF CORRECTION
Domestic Correction - 1/2022 Page 2 of 2
5. Corre
ct the incorrect information or defective signature (specify attachment if necessary):
Date (MM/DD/YYYY) Typed name/title of authorized person
Signature of person authorized to sign
/
/
Domestic Correction 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 Correction 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
Credit Card Type: (Visa, MC, Discover & AmEx)
Card Number: Expiration Mo/Yr.: / (MM/YY)
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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Completed 7 June 2022

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