Free Amendment to Certificate - Wyoming

Wyoming Secretary of State
State Capitol Building, Room 110 200 West 24th Street Cheyenne, WY 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: [email protected]

For Office Use Only

Statutory Trust Certificate of Amendment
1. Name of the statutory trust:

2. Amendment(s) to the certificate:

3. Future effective date or time of the certificate, if it is not to be effective upon the filing of the certificate:
(Date ­ mm/dd/yyyy)

Date:
(mm/dd/yyyy)

Trustee Signature: ____________________________________ Print Name:

Date:
(mm/dd/yyyy)

Trustee Signature: ____________________________________ Print Name:

Date:
(mm/dd/yyyy)

Trustee Signature: ____________________________________ Print Name:

Contact Person: Daytime Phone Number: Checklist Filing Fee: $25.00 Make check or money order payable to Wyoming Secretary of State. The Certificate of Amendment shall be signed by at least one of the trustees. Please submit one originally signed document and one exact photocopy of the filing. Please review form prior to submitting to the Secretary of State to ensure all areas have been completed to avoid a delay in the processing of your documents.

ST-Amendment - Revised 12/2008