State of Alaska 
                          Division of Corporations, Business and Professional Licensing 
                          CORPORATIONS SECTION 
                          PO Box 110806 
                          Juneau, AK  99811-0806 
                          Phone: (907) 465-2550 
                          Fax: (907) 465-2974 
                          Website: www.commerce.alaska.gov/occ 
                                                            
                               CERTIFICATE OF CORRECTION 
                                          All Entity Types 
                                              AS 10.06.920 
 Filing Fee: $25.00 (non-refundable)   
  
 INSTRUCTIONS (Please retain for your records): 
 NOTICE: The Certificate of Correction will not be filed if a biennial report is due or the signatures do not match 
 what the Corporations Section has on record. Please verify the following before completing the application. 
  o  Have all current biennial reports be filed? 
  o  Are all officials up to date on our records? 
        
 To verify this information please search for the entity by going to Search Corporations Database in the 
 Corporations Section of our website at www.commerce.alaska.gov/occ. If there is a biennial report due, the 
 report may be filed online by selecting Biennial Reports on the Corporations Section page. If the officials have 
 changed, but no biennial report is due, please submit a Notice of Change located under Forms & Fees. 
  
 Refer to Alaska Statutes 10.06.920. An entity may submit a Certificate of Correction to correct a document 
 that has been filed for record. The filing of the certificate by the commissioner does not alter the effective 
 time of the writing being corrected and does not affect any right or liability accrued or incurred before the 
 filing. An entity name may not be changed or corrected with this form.  
  
 ITEM 1: Provide the name of the entity currently on record and the Alaska Entity Number. 
  
 ITEM 2: Indicate the title of the document that needs to be corrected, and the date the document was filed for 
 record with this Division. This information may be obtained by searching our corporations’ database (see 
 instructions above). 
  
 ITEM 3: State the correction. 
  
 IITEM 4: The Certificate of Correction must be signed by the same in the same manner as the original 
 document. If changes have been made since the original document was filed, the current officers must sign. 
  
 NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in 
 material respects are guilty of a class A misdemeanor.  
  
 Mail the Certificate of Correction and the non-refundable $25.00 filing fee in U.S. dollars to: 
 State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 
  
 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
 approximately 10-15 business days. All applications are reviewed in the date order they are received.   

 08-422 (Rev. 02/01/2012)      Certificate of Correction Instructions     
  

              State of Alaska 
                                                                              DO NOT STAMP ABOVE THIS BOX 
              Division of Corporations, Business and Professional Licensing 
                                                                              Office Use Only       CORP 
              CORPORATIONS SECTION 
              PO Box 110806 
              Juneau, AK  99811-0806 
              Phone: (907) 465-2550 
              Fax: (907) 465-2974 
              Website: www.commerce.alaska.gov/occ                                                                    
                                                                                                                      
                               CERTIFICATE OF CORRECTION                                      
                                          All Entity Types 
                                          AS 10.06.920 
                                                                               
      $25.00 Filing Fee (non-refundable) 

 Pursuant to Alaska Statutes 10.06.920, an entity may create a Certificate of Correction to correct a document 
 that has been filed for record. The filing of the certificate by the commissioner does not alter the effective time 
 of the writing being corrected and does not affect any right or liability accrued or incurred before the filing. A 
 corporate name may not be changed or corrected with this form.  
  
 ITEM 1 :Name of the Entity:                                         Alaska Entity #: 
                                                                      
 ITEM 2: Provide the following information for the document being corrected:  
  
    Title of the original document filed for record:   
  
    Date the original document filed for record (mm/dd/yyyy format):   
  
 ITEM 3: State the correction: 
    
 Attach an additional sheet if necessary. 
  
 08-422 (Rev. 02/01/2012)                 Page  1of    2                       

ITEM 4: The Certificate of Correction must be signed in the same manner as the original document. Attach an 
additional sheet if necessary. 
 
Signature                                       Printed Name                     Title                    Date  
                                                                                                  
Signature                                       Printed Name                     Title                    Date  
 
NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in 
material respects are guilty of a class A misdemeanor.  
 
Mail the Certificate of Correction and the non-refundable $25.00 filing fee in U.S. dollars to: 
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 
 
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
approximately 10-15 business days. All applications are reviewed in the date order they are received. 
 
08-422 (Rev. 02/01/2012)        Page  2of                      2                          

               State of Alaska 
                                                                              DO NOT STAMP ABOVE THIS BOX 
               Division of Corporations, Business and Professional Licensing 
                                                                              Office Use Only       CORP 
               CORPORATIONS SECTION 
               PO Box 110806 
               Juneau, AK  99811-0806 
               Phone: (907) 465-2550 
               Fax: (907) 465-2974 
               Website: www.commerce.alaska.gov/occ                                                                      
                                                                                                                         
                            CONTACT INFORMATION SHEET  

 Please return this document with your filing. This information will only be used to resolve questions with the filings 
 attached. NOTE: this form will not be filed for record or appear online. 
  
 Name of entity as it appears on filing: 
   
 To resolve questions with this filing, contact: 
  Name: 

  Email: Phone: 

  Mailing address: 

 Return documents to: 
  Name: 

  Company: 

  Mailing address: 
  
 Attach this form to your filings. Send all documents to: 
 State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 
  
 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
 approximately 10-15 business days. All applications are reviewed in the date order they are received.  

  08-561 (Rev. 02/01/2012)                       Page  1of 1                  
  

                         THE  TATE S                                                                                                          FOR DIVISION USE ONLY 
                         of 
                                                                                                                                                              
                           ALASKA 
                         Department of Commerce, Community, and Economic Development 
                         Division of Corporations, Business and Professional Licensing 
 
          State of Alaska  
          Department of Commerce, Community, and Economic Development 
          Division of      Corporations, Business and Professional Licensing 
          PO Box 110806, Juneau, AK 99811 
          Phone: (907)     465-2550 
 
Credit Card Payment Form                                                                                        

All major credit cards are accepted. For security purposes, do not email credit card information. 
Include this credit card payment form with your application.  

Name of Applicant or Licensee:      _________________________________________________________________________________________________________________________ 

Program Type:   ________________________________________________________       License Number (if applicable):                                    ________________________________ 

 I wish to make          payment by credit card for the following(check all that apply):                                                                        AMOUNT           

          Application Fee:  _________________________________________________________________________________________________                           __________________________         

          License or Renewal Fee:        _________________________________________________________________________________                              __________________________         

          Other (name change, wall certificate, fine, duplicate license, exam, etc.):         

            1.           _____________________________________________________________________________________________________________________               __________________________ 

            2.          _____________________________________________________________________________________________________________________                __________________________         

                                                                                                       TOTAL:            ___________________________ 

Name (as shown on credit card):   ________________________________________________________________________________________________________________________ 

Mailing Address:            ___________________________________________________________________________________________________________________________________________________ 

Phone Number:   ________________________________________________________      Email (optional):               _______________________________________________________ 

Signature of Credit Card Holder:                     _____________________________________________________________________________________________________________________ 

  08-4438                   Rev 12/26/18                   Credit Card Payment Form (all major cards accepted) 
  
   CREDIT CARD INFO:  Your payment cannot be processed unless all fields are completed! 
   
       1. Account Number:                                                                                       All four fields MUST 

                                                                                                                                                 be completed! 
       2. Expiration Date:                                                                                                                                    

                                                                                                                This section will be 
       3. Billing ZIP Code: 
                                                                                                                destroyed after the 
       4. Security Code:                                                                                       payment is processed.