L-112  Rev. 3/2013  New Jersey Division of Revenue & Enterprise Services
                               Restated and Amended Certificate of Formation 
                                        Limited Liability Company
To file electronically: 
1. Enter the information requested below and sign by typing your name in the signature field.  The form can only be filled in using the free Adobe 
Acrobat Reader 9.1 or greater.  (See the pages following this form for field by field instructions, and notes on delivery and processing of work requests.) 
2. Click the "Add Attachments" button to add attachments if required (Check the field by field instructions to see if you must include an attachment(s)). 
3. After the form has been filled in properly, please save a copy to your computer so that you can upload the form to the State of New Jersey Division of 
Revenue & Enterprise Services Central Forms Repository Web application by following the instructions in the next step. 
4. Click the "Open the Central Forms Repository Home Page to start the Form Submission Process" button at the bottom of the form.   
(This action will launch the State of New Jersey Division of Revenue & Enterprise Services Central Forms Repository Web application.  If you have not 
created an account in the application, you will need to do so before using the online Web application.  Once your account is created, please login to the 
application and follow the instructions for submitting your form and payment online.)

           This form may be used to restate and integrate, AND FURTHER AMEND, the Certificate of Formation 
           of a Limited Liability Company on file with the Department of the Treasury, as supplemented and 
           amended by any instrument that was executed and filed pursuant NJSA 42. 

           1.   Name of Limited Liability Company: _____________________________________________________

           2.   NJ 10 digit ID Number:    ______________________________________________________________

           3.   New LLC Name: (If applicable)   _______________________________________________________________

           4.   Other Provisions: _____________________________________________________________________

           5.   The Restated Certificate of Formation is amended as follows: (Use attachments if required)

           6.   Attachments:  

           The undersigned represent(s) that this filing complies with State law as detailed in NJSA 42 and that they 
           are authorized to sign this form on behalf of the LLC. 

           Signature  _____________________________________                          Date ________________________

           Name  ________________________________________ 

           Add Attachments              Open the Central Forms Repository Home Page to start the Form Submission Process

L-112  Rev. 3/2013
                           Instructions for Form L-112 
         RESTATED CERTIFICATE - LIMITED LIABILITY COMPANY 
                           RESTATED AND AMENDED  

                                                     (Title 42:2B) 

STATUTORY FEE:    $100 
The MANDATORY fields are: 

 Field # 1 --Business Name 
List the name as it appears on the records of the State Treasurer. 

Field #2  -- Identification Number 
Provide the 10-digit corporation number as issued by the State of New Jersey. 

Field # 3 & 5 Amendments 
Use field #3 to state the new name if applicable. Use Field #5 to list any other amendatory 
language.  If the amendment involves a name change, then name availability provisions 
apply.** 

**The name must be distinguishable from other names on the State’s database. The 
Division of Revenue will check the proposed name for availability as part of the filing 
review process.  If desired, you can reserve/register a name prior to submitting your 
filing by obtaining a reservation/registration. For information on name availability and 
reservation/registration services and fees, visit the Division’s WEB site at 
http://www.state.nj.us/treasury/revenue/certcomm.shtml  or call (609) 292-9292 Monday-
Friday, 8:30 a.m. - 4:30 p.m. 

Field # 4 -- OTHER PROVISIONS (as needed) 
Specify other information such as the effective date if it is other than the filing date.  The 
effective date cannot be before the filing date nor can it be more than 30 days after the filing 
date.  The filing date is the date the document is received for processing. 

Field # 6 – Attachments (as needed) 
List discrepancies between existing and restated Certificates.   

ATTESTATIONS 
Add a statement that indicates that the signers are authorized to sign on behalf of the LLC. 
Form L-112 provides the statement. 

EXECUTION (Signature/Date) 
An authorized representative must sign. Also, list the date of execution (signature). 

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