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             Foreign Limited Liability Company Amendment Checklist 

                                 The attached application must be filled out in its entirety. All fields 
with anasterisk   *are required. 

                                 You must attach a Certificate of Good Standing issued by your 
domestic state dated within 30 days of being received and accepted by our 
office. statesSome       torefer it as a Certificate Existenceof    Certificateor    of 
Fact. 

                                 You must attach a certified copy of the amendment filed in the 
domestic state

                                 The filing fee is $50. Please make the check or money order payable 
to New Mexico Secretary of State or NMSOS.  

             Mail entire application along with the required information listed above to: 

                                                        New Mexico Secretary of State 

                                                                    Business Services Division 
                                                                    325 Don Gaspar, Suite 300 
                                                                                        Santa Fe, NM 87501 



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                 Type or Print Legibly 
                 $50 Filing Fee                                                                                             Foreign Limited Liability Company 

                                                                                                 Application for Amended Certificate of Registration 
                      The undersigned limited liability company  order toin apply for an Amended Certificate of Registration                  ,
                                              under the New LimitedMexico              Liability Company Act  submits the following statement:                                      ,

                 1:*The business ID number,                                                                                 ,nameandDBA name(s) of the limited liability company as currently registered                :

                 *The Certificate of Registration was issued on the following date: 
                 Email Address:                                                                                                                Phone Number: 

                 2: *The limited liability company registration is being amended as follows: 

                 *Executed Date: 

                                                                                                 *Signature of  Authorized Person                                                                         *Printed Name 

      /202 Rev 0    5   1                                                                                                                                                                                                Page 1 



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                                                                                                             Document Delivery Instruction Form 

                                                                                                             Please fill out in its entirety  

Contact Name: 

Contact Phone Number: 

Attention: 

Mailing Address: 

                                                  City                                                         State                                          Zip code 

Email Address: 

                                                  documentsAll    will be  mailed to the                     e       email address listed. If an email 
                                                                  address is not provided the documents will be mailed to the address 
                                                                                                               listed. 

                                                                                                             check if you choose to pick up your documents 
    Documents listed pick up mustfor be withinup picked      five business days or documents will be  mailed.                                                          e

Rev 05/2021






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