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DSCB:15-138 - Instructions
Pennsylvania Department of State
Bureau of Corporations and Charitable Organizations
P.O. Box 8722
Harrisburg, PA 17105-8722
(717) 787-1057
web site: www.dos.pa.gov/corps
General Information filing is to be returned by email, an email address must be
Typewritten is preferred. If handwritten, the form must be provided. An email will be sent to address provided,
legible and completed in black or blue-black ink in order to containing a link and instructions on how a copy of the filed
permit reproduction. document or correspondence may be downloaded. Any email
or mailing addresses provided on this form will become part
The nonrefundable filing fee for this form is $70. Checks of the filed document and therefore public record.
should be made payable to the Department of State. Checks
must contain a commercially pre-printed name and address. 1. Give the exact name of the association. The name on this
line must match exactly the association name as provided in
This form and all accompanying documents shall be mailed to the document sought to be corrected and in the Department’s
the address stated above. records at the time this Statement of Correction is submitted
for filing. This field is required.
Applicable Law
See 15 Pa.C.S. § 138 for general information on Statement of 2. Current address. The address provided must be the
Correction. Statutes are available on the Pennsylvania General association’s registered office address (a) or Commercial
Assembly website, www.legis.state.pa.us, by following the Registered Office Provider (b) as on file with the Department
link for Statutes. of State at the time this Statement of Correction is submitted
for filing. This field is required.
Who should file this form?
Whenever any document authorized or required to be 3. Supply the statute by or under which the association was
delivered to the Department of State for filing has been so formed, or the preceding filing was made, in the case of a
filed and is an inaccurate record of the action therein referred filing that does not constitute a part of the public organic
to or was defectively or erroneously executed, the document record of an association. Example: Business Corporation Law
may be corrected by delivering to the Department for filing a of 1988, Limited Liability Company Law of 1994.
Statement of Correction. This field is required.
Only documents that have already taken effect may be 2. The type of document to be abandoned is the name of the
corrected under this section. If a document has not yet taken form or document previously submitted, which has not yet
effect, it may be abandoned under 15 Pa.C.S. § 141 if the become effective: Statement of Merger, Articles of
requirements of that section are satisfied. Otherwise, the Incorporation, etc. This field is required.
document must be amended in accordance with the applicable
provisions of this title or, if the document relates to the 3. The date is the date the document sought to be abandoned
formation of an entity, the existence of the entity may be was delivered to the Department for filing. This field is
terminated in accordance with the applicable provisions of required.
law. A Statement of Correction may not be used as an
alternative to the dissolution process. Thus, a Statement of 4. Identify the inaccuracy or defect to be corrected. This
Correction may not be used to strike the original public should identify the defective document by specifying its name
organic record (such as Articles of Incorporation) from the and DSCB form number, the filing date of the defective
records of the Department. See 15 Pa.C.S. § 138(b)(2). document and a statement of the defect to be corrected.
This field is required.
Attachments
The following, in addition to the filing fee, shall Signature and Verification
accompany this form: The Statement of Correction must be signed by the association
(1) One copy of a completed form DSCB:15-134B or other person that delivered the inaccurate, erroneous or
(Docketing Statement - Changes) with respect to defective document for filling. Signing a document delivered
each form, if any, which accompanied the original to the Department for filing is an affirmation under the
filing. penalties provided in 18 Pa.C.S. § 4904 (relating to unsworn
falsification to authorities) that the facts stated in the
document are true in all material respects. This field is
Form Instructions required.
Enter the name and mailing address to which any
correspondence regarding this filing should be sent. This field
must be completed for the Bureau to return the filing. If the
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