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Application To Renew A Registration Of Corporate Name (Connecticut)

This is an application to renew registration of a foreign corporate name in Connecticut. The form provided here is simply a sample of what the actual Form SC 104 looks like.

APPLICATION TO RENEW A REGISTRATION OF
CORPORATE NAME
FOREIGN CORPORATION

Office of the Secretary of the State
30 Trinity Street / P.O. Box 150470 / Hartford, CT 06115-0470 / Rev. 12/1999

Space For Office Use Only


The undersigned hereby applies to renew the registration of the following corporate name:

1. CORPORATE NAME: _____________________

2. STATE OR COUNTRY OF INCORPORATION: ___________________

3. DATE OF INCORPORATION:
_____________________ (mo./day/yr.)

4. THE NATURE OF BUSINESS IN WHICH THE CORPORATION IS ENGAGED:

_____________________

_____________________

(Please reference an 8 l/2 X 11 attachment if additional space is needed)

5. ADDRESS OF THE CORPORATION:

Street _____________________

City _____________________

State _____________________

Zip Code _____________________

6. EXECUTION:

Dated this _____________________day of _____________, 20_____.

Print or type name of signatory _____________________

Capacity of signatory _____________________

Signature _____________________


-----------------------------
INSTRUCTIONS FOR FILLING OUT THIS FORM
-----------------------------

Complete and return this registration form to the Office of the Secretary of the State at the above referenced address. The application must be accompanied by an original Certificate of Existence issued by the official keeper of corporate records in the state or country of the corporation's formation. The Certificate may not be more that 90 days old at the time of filing.

A renewed registration of corporate name expires at the end of the calendar year during which an application is filed.

Please type or print all information other than the signature.


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