Ny Certificate Change Details

In order to change your name on your New York Certificate of Live Birth, you will need to complete the New York Certificate Change Form. This form is available online, and can be downloaded and printed out. The completed form must be mailed in, along with supporting documentation. The address to which you mail the form will be listed on the form itself. Keep in mind that processing time for a name change may take up to two months. Make sure to plan ahead so that there are no delays in obtaining your new certificate. For more information, visit our website today.

Before you decide to fill in new york certificate change, you will want to find out more about the type of form you'll use.

QuestionAnswer
Form NameNew York Certificate Change
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdos 1359 f form, dos 1359, certificate of change, address changed dos online

Form Preview Example

New York State

Department of State

Division of Corporations, State Records

and Uniform Commercial Code

One Commerce Plaza, 99 Washington Avenue

Albany, NY 12231

www.dos.ny.gov

CERTIFICATE OF CHANGE

OF

(Insert Name of Domestic Limited Liability Company)

Under Section 211-A of the Limited Liability Company Law

FIRST: The name of the limited liability company is:

If the name of the limited liability company has been changed, the name under which it was organized is:

SECOND: The date of filing of the articles of organization is:

THIRD: The change(s) effected hereby are: [Check appropriate statement(s)]

1.

2.

3.

The county location, within this state, in which the office of the limited liability company is located, is changed to:

The address to which the Secretary of State shall forward copies of process accepted on behalf of the limited liability company is changed to read in its entirety as follows:

The limited liability company hereby: [check one]

Designates

as its registered agent upon whom process against the limited liability company may be served. The street address of the registered agent is:

Changes the designation of its registered agent to: The street address of the registered agent is:

Changes the address of its registered agent to:

Revokes the authority of its registered agent.

DOS-1359-f-l (Rev. 06/12)

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X

 

Capacity of signer (Check appropriate box):

 

Member

(Signature)

 

Manager

(Type or print name)

 

 

Authorized Person

CERTIFICATE OF CHANGE

OF

(Insert Name of Domestic Limited Liability Company)

Under Section 211-A of the Limited Liability Company Law

Filed by:

(Name)

(Mailing address)

(City, State and ZIP code)

NOTE: This form was prepared by the New York State Department of State for filing a certificate of change by a domestic limited liability company. You are not required to use this form. You may draft your own form or use forms available at legal supply stores. The Department of State recommends that legal documents be prepared under the guidance of an attorney. The certificate must be submitted with a $30 filing fee made payable to the Department of State.

(For office use only)

DOS-1359-f-l (Rev. 06/12)

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