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Application for Amended Certificate of Authority (Tennessee)

This is an application for an amended certificate of authority for a limited liability company in Tennessee. The form provided here is simply a sample of what the actual Form SS 4231 looks like.

For Office Use Only


To the Secretary of State of the State of Tennessee:

Pursuant to the provisions of ยง 48-246-303 of the Tennessee Limited Liability Company Act, the undersigned hereby applies for an amended certificate of authority to transact business in the State of Tennessee, and for that purpose sets forth:

Corporate Filings
312 Eighth Avenue North
6th Floor, William R. Snodgrass Tower
Nashville, TN 37243

1. The name of the Limited Liability Company is:


If different, the name under which the certificate of authority is to be obtained is:


2. The state or country under whose law it is organized is:


3. The date of its formation is: _______________________ (must be month, day and year).

4. The complete street address (including zip code) of its principal office is:

Street _______________________

City _______________________

State/Country _______________________

Zip Code _______________________

5. The complete street address (including the county and the zip code) of its registered office in Tennessee is:

Street _______________________

City/State _______________________

County _______________________

Zip Code _______________________

The name of its registered agent at that office is:


6. Please insert the number of members at the date of filing.

NOTE: This application must be accompanied by a certificate of existence (or a document of similar import) duly authenticated by the Secretary of State or other official having custody of Limited Liability Company records in the state or country under whose law it is formed. The certificate shall not bear a date of more than two (2) month prior to the date the application is successfully filed in Tennessee.

Signature Date _______________________

Name of Limited Liability Company _______________________

Signer's Capacity _______________________

Signature _______________________

Name (typed or printed) _______________________

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