New York Certificate Change PDF 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.

Form NameNew York Certificate Change
Form Length2 pages
Fillable fields0
Avg. time to fill out30 sec
Other namesny certificate of change llc, dos ny, 1359 filed form, nys change llc name

Form Preview Example

New York State

Department of State




One Commerce Plaza

99 Washington Ave.

Albany, NY 12231-0001



(Insert Name of Domestic Corporation)

Under Section 805-A of the Business Corporation Law

FIRST: The name of the corporation is:


If the name of the corporation has been changed, the name under which it was formed is:







SECOND: The certificate of incorporation was filed by the Department of State on:






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




The county location, within this state, in which the office of the corporation is located, is




changed to:





The address to which the Secretary of State shall forward copies of process accepted on




behalf of the corporation is changed to read in its entirety as follows:



The corporation hereby: (Check one)


as its registered agent upon whom process against the corporation 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:


DOS-1556-f (Rev. 03/17)

Page 1 of 2

Changes the address of its registered agent to:


Revokes the authority of its registered agent.

FOURTH: The change was authorized by the board of directors.



(Name of Signer)

(Title of Signer)



(Insert Name of Domestic Corporation)

Under Section 805-A of the Business Corporation Law

Filer’s Name and Mailing Address:


Company, if Applicable

Mailing Address

City, State and Zip Code


1.The name of the corporation and its date of incorporation provided on this certificate must exactly match the records of the Department of State. This information should be verified on the Department of State’s website at

2.This form was prepared by the New York State Department of State. You are not required to use this form. You may draft your own form or use forms available at legal stationery stores.

3.The Department of State recommends that all documents be prepared under the guidance of an attorney.

4.The certificate must be submitted with a $30 filing fee.

For Office Use Only

DOS-1556-f (Rev. 03/17)

Page 2 of 2

How to Edit New York Certificate Change Online for Free

Our best developers have worked collectively to create the PDF editor which you will begin using. This app makes it simple to complete nys change llc name files quickly and efficiently. This is certainly everything you should undertake.

Step 1: Click the button "Get Form Here".

Step 2: The file editing page is currently available. Include information or edit present information.

These parts are within the PDF form you will be filling out.

portion of fields in certificate change new

Please submit your information inside the box The corporation hereby Check one, Designates, as its registered agent upon whom, The street address of the, Changes the designation of its, The street address of the, DOSf Rev, and Page of.

stage 2 to finishing certificate change new

You should insert some data in the area Changes the address of its, Revokes the authority of its, FOURTH The change was authorized, X Signature, Name of Signer, Title of Signer, and CERTIFICATE OF CHANGE.

part 3 to finishing certificate change new

The Filers Name and Mailing Address, Name, Company if Applicable, Mailing Address, City State and Zip Code, NOTES The name of the corporation, and For Office Use Only field will be applied to put down the rights or obligations of both sides.

step 4 to filling out certificate change new

Step 3: Once you hit the Done button, your finalized document is conveniently transferable to any of your gadgets. Or, you might deliver it by using email.

Step 4: To prevent all of the headaches in the long run, try to create up to several copies of your form.

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