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                            Delaware Division of Corporations 
                                401 Federal Street – Suite 4 
                                   Dover, DE 19901 
                                      Ph: 302-739-3073
                                      Fax: 302-739-3812

                                                       Certificate of Amendment for 
                                                               Limited Liability Company 

 Dear Sir or Madam: 

         Enclosed please find a form for a Certificate of Amendment for a Delaware 
 Limited Liability Company to be filed in accordance with the Limited Liability Company 
 Act of the State of Delaware. The fee to file the Certificate is $200 and you will receive a 
 stamped “Filed” copy of your submitted document.  A certified copy may be requested 
 for an additional $ 0.00. 5Expedited services are available.  Please contact our office 
 concerning these fees.  Please make your check payable to the “Delaware Secretary of 
 State”. 

         For the convenience of processing your order in a timely manner, please include a 
 cover letter with your name, address and telephone/fax number to enable us to contact 
 you if necessary. Please make sure you thoroughly complete all information requested on 
 this form.  It is important that the execution be legible, we request that you print or type 
 your name under the signature line. 

         Thank you for choosing Delaware as your corporate home.  Should you require 
 further assistance in this or any other matter, please don’t hesitate to call us at (302) 739-
 3073.

                                                               S in c e r e ly ,

                                                               D e p a r tm e n t o f S ta e t   
         Division of Corporations 

 encl. 
 rev. 7/03 



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     STATE OF DELAWARE 
     CERTIFICATE OF AMENDMENT 

1. 	  Name of Limited Liability Company:  __________________________________ 
     _________________________________________________________________ 

2. 	  The Certificate of Formation of the limited liability company is hereby amended  
 as follows: 

     IN WITNESS WHEREOF, the undersigned have executed this Certificate on  
     the ________________ day of ________________________, A.D. ______. 

                       By:___________________________________ 
                       Authorized Person(s) 

                                                                     Name:________________________________ 
                       Print or Type 






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