Please
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                 kansas secretary of state                    The following form must be complete and 
                                                              accompanied by 
                 Corrected Document                                                       the correct filing fee or the 
                                                              document will 
            COR                                                                           not be accepted for filing.

                 GENERAL FILING 

                     INSTRUCTIONS

      Filing fee            Submit this form with the entire corrected document and the filing fee appropriate to the document 
                            being corrected.

      Payment               Please submit payment by check, money order, or credit card. Checks and money orders need to be made 
                            payable to the Secretary of State.  Forms received without the appropriate fee will not be accepted for filing. 
                            Please do not send cash. 

                            NOTICE:  There is a $25 service fee for all returned checks.

                            Visa, MasterCard, Discover, and American Express are accepted. To use a credit card, please provide the 
                            following information:

                            Credit card number __________________________________________________________________

                            Billing zip code _____________________________   Expiration date _________________________

      Daytime phone and 
      contact person        ___________________________________________________________________________________
      No duplicate copies   Please do not send duplicate copies of your document. The original is processed, and returned to you by 
                            mail.

      No email              Filings are not accepted by email.

      No filing by phone    No documents or reports can be filed with our office by phone.

      Public information    All documents filed with our office are available to the public and may be viewed online without cost. Please 
                            consider this when providing information on our forms. Instructions and payment information are shredded 
                            after use.

            K.S.A. 17-7912                                                                Please proceed to form.
Inst.       Rev. 1/1/24 tc  

Please
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                   kansas secretary of state       
                   Corrected Document
            COR

                                                               Print                        Reset
                                                                                                                                           
      Memorial Hall, 1st Floor             (785) 296-4564      Please complete the form, print, sign and mail to the 
      120 S.W. 10th Avenue                 kssos@ks.gov        Kansas Secretary of State with the filing fee.  Selecting 
      Topeka, KS 66612-1594                sos.ks.gov          'Print' will print the form and 'Reset' will clear the entire 
                                                                                            form.

      1.  Business entity ID/file 
            number:

      2.  Name of covered entity:
            Must match name on record with 
            the Secretary of State.

      3a.  Specify the document to 
            be corrected:

      3b.  Date the erroneous              Month      Day  Year
            document was filed with 
            Kansas Secretary of 
            State:

      3c. The inaccuracy needing 
            correcting:

      4.  Attach the entire document in its corrected form.

      5.  I declare under penalty of perjury pursuant to the laws of the state of Kansas that the foregoing is true and correct.
      Signature of Authorized Person                       Name of Signer (Printed or Typed)

      X

            K.S.A. 17-7912                                                                  Please review to ensure completion.
1 / 1       Rev. 1/1/24 tc