Free Microsoft Word - app for amend registration - foreign stat trust.DOC - Connecticut

APPLICATION FOR AMENDED REGISTRATION
FOREIGN STATUTORY TRUST
MAILING ADDRESS: Commercial Recording Division Connecticut Secretary of the State P.O. Box 150470 Hartford, CT 06115-0470 860-509-6003 DELIVERY ADDRESS: Commercial Recording Division Connecticut Secretary of the State 30 Trinity Street Hartford, CT 06106 860-509-6003

Space For Office Use Only

Filing Fee: $60.00

Make Checks Payable To "Secretary of the State"

1. NAME OF STATUTORY TRUST IN ITS STATE OR COUNTRY OF FORMATION:

2. IF DIFFERENT THAN THE NAME STATED ABOVE, THE NAME UNDER WHICH THE STATUTORY TRUST TRANSACTS BUSINESS IN CONNECTICUT:

3. STATE OF FORMATION: _______________________________________
4. THE STATUTORY TRUST'S APPLICATION FOR REGISTRATION IS AMENDED AS FOLLOWS:

5. EXECUTION

Dated this _____ day of _________, 20_____.

Print or type name of signatory

Capacity of signatory

Signature

Note: If additional space is needed, please reference an 8 1/2 X 11 attachment
Rev. 08/24/2007