C-113A Rev. 3/2013       New Jersey Division of Revenue & Enterprise Services
                        APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY
                                    (For Use by Foreign Profit and Non-profit Corporations)
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 
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           Check Appropriate Statute: 
           ___ N.J.S.A. 14A:13-6            New Jersey Profit Corporation Act   
           ___ N.J.S.A. 15A:13-6            New Jersey Nonprofit Corporation     
           Pursuant to the provisions of the appropriate Statute, checked above, of the New Jersey Statutes, the 
           undersigned corporation hereby applies for an Amended Certificate of Authority, and for this purpose certifies 
           to the following: 

           1. Original corporate name: ___________________________________________________________________ 

           2. NJ 10 digit ID Number:  __________________________
           3. New name of corporation (if applicable): 

               _____________________________________________________________________________________
           4. Incorporated under the laws of:  ____________________________
           The date of foreign incorporation:  __________________

           5. The duration of the corporation is: ____________________________________________________

           6. The address of its main office or headquarters is:  

           (Street and postal designation)  _______________________________________________________

           (City)   ___________________________    (State) ___________________           (Zip) _________________

           7. The name and address of its Registered agent in New Jersey is: 
           (Agent's Name)  ______________________________________
           (Street and postal designation)  ________________________________________________________ 
           (City)  ____________________________  (State)  ___________________         (Zip)   _________________

           Said Registered Agent is an agent of the corporation upon whom process against the corporation may be 
           served. 
           8. The business/activities which the corporation is authorized to conduct in New Jersey, and which it is also 
           authorized to conduct in its home jurisdiction are: 

           NOTE: Attach a Good Standing Certificate from the home state dated no more than 30 days prior to filing in 
                        New Jersey. 
           Signature: ____________________________________
           Title: ________________________________________                             Date: ___________________
                 (Must be Chairperson of the Board, President, or Vice President)

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

C-113A Rev. 3/2013
                              Instructions for Form C-113A 
                              CERTIFICATE OF AMENDMENT 
                    FOREIGN PROFIT and NON- PROFIT CORPORATIONS 
                                        (Titles 14A and 15A) 

STATUTORY FEE:  $75 
The MANDATORY fields are: 

Statutory Authority 
Indicate by checking the appropriate statutory authority:  14A:13-6 or 15A:13-6. 

Field # 1 -- Business Name 
List the name as it appears on the records of the State Treasurer. If you are changing the 
corporate name (see Field # 3), 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   
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 # 2 -- ID Number 
List the ten-digit ID as it appears on the records of the State Treasurer. 

Field # 3 -- Corporation Name 

Field # 4 -- Home Jurisdiction/Date 
List the state, territory, possession, or other jurisdiction or country where the foreign 
corporation was incorporated. Also, provide the date on which the corporation was 
incorporated in the home jurisdiction. 

Field # 5 -- Duration of the Corporation 

Field #6 -- Principal (Main) Address 
List the principal or main address of the corporation. 

Field #7 -- Registered Agent and Office 
List the agent and office as shown on the records of the State Treasurer. 

Field #8 -- Purpose 
List the purpose of the corporation (a brief descriptive statement regarding the type of 
business that the corporation is conducting). 

CERTIFICATE 
Provide a certificate of good standing/existence from the home jurisdiction not greater than 
30 days old. 

EXECUTION (DATE/SIGNATURE) 
The president, vice-president or chairman of the board must sign. Also, list the 
execution (signature) date. 
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