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
APPLICATION FOR AMENDED
CERTIFICATE OF AUTHORITY
(LIMITED LIABILITY COMPANY)
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) _______________________