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Application For Amended Certificate Of Authority To Transact Business In Illinois

This form is to amend authority to transact business in Illinois. The form provided here is simply a sample of what the actual Form BCA-13.40 looks like.

Form BCA-13.40

Jesse White
Secretary of State
Department of Business Services
Springfield, IL 62756
Telephone (217) 785-2237

Remit payment in check or money order, payable to "Secretary of State."


File # ________________________________


This space for use by Secretary of State

Date ________________________________

Filing Fee $25.00

Approved: ________________________________



1. (a) CORPORATE NAME: _________________________________

(b) If changed, NEW CORPORATE NAME: ____________________________

(c) (Complete only if the new corporate name is not available in this state.)

ASSUMED CORPORATE NAME: _________________________________

(By electing this assumed name, the corporation hereby agrees NOT to use its corporate name in the transaction of business in Illinois. Form BCA 4.15 is attached.)

2. (a) State or Country of Incorporation: ___________________________

(b) If changed, Period of Duration: _________________________________

(c) Period of Duration: _________________________________

3. If changed, Purpose or Purposes proposed to be pursued in transacting business in this State:
(If not sufficient space to cover this point, use reverse side or add one or more sheets of this size.)



4. This application is accompanied by a copy of the articles of Amendment to the Articles of Incorporation, if any, as evidence of any change of name, duration or purpose reported herein, such copy being duly authenticated by the proper officer of the state or country wherein the corporation is incorporated, which certification is not more than ninety (90) days old. The filing fee for the certified copy of the Articles of Amendment is $25 unless the amendment acts as a restatement of the Articles of Incorporation, in which case the filing fee is $100. In the event the statutory change was effected in a merger, a certified copy of the merger is required, plus applicable fee.

5. The undersigned corporation has caused this statement to be signed by its duly authorized officers, each of whom affirms, under penalties of perjury, that the facts stated herein are true. (All signatures must be in BLACK INK.)

Dated ______________________________ (Month & Day), _________ (Year)

_________________________________ (Exact Name of Corporation)

attested by _________________________________ (Signature of Secretary or Assistant Secretary)

_________________________________ (Type or Print Name and Title)

by _____________________________ (Signature of President or Vice President)

_________________________________ (Type or Print Name and Title)

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