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This form is designed to be filled out online for your convenience.
Complete the necessary information, print, sign and mail.
State of Missouri Print Reset
John R. Ashcroft, Secretary of State
Corporations Division
PO Box 778 / 600 W. Main St., Rm. 322
Jefferson City, MO 65102
Statement of Correction for a
General Business or Nonprofit Corporation
(Submit with filing fee of $10.00)
1. The name of the corporation is Charter #:
2. The state/country under whose laws it was organized is:
3. Type of document being corrected (or filed copy attached):
4. The error is corrected as follows:
5. The reason for such correction is:
6. Date the original document was filed with the Missouri Secretary of State:
In Affirmation thereof, the facts stated above are true and correct:
(The undersigned understands that false statements made in this filing are subject to the penalties provided under Section 575.040, RSMo)
Authorized Signature Printed Name Title Date
Name and address to return filed document:
Name:
Address:
City, State, and Zip Code:
Corp. 60 (01/2017)
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