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Kansas Corporation Certificate of Correction Form

In the case of a corporation wanting to make modifications to documents that have already been submitted to the Secretary of State’s office in the State of Kansas, the following form has to be completed and submitted along with a $35 filing fee.

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Above space is for office use only.	
    _______________________________________	
CONTACT:	  Kansas Office of the Secretary of State	
Memorial Hall, 1st Floor
120 S.W. 10th Avenue
Topeka, KS 66612-1594	 	
(785) 296-4564
[email protected]
www.sos.ks.gov	
CC
53-05	
KANSAS SECRETARY OF STATE
For-Profit Corporation Certificate of 
Correction	
INSTRUCTIONS:  	All information must be completed or this document will not be accepted for filing. 	 	
Please read instructions before completing.	i	
1.  Business entity ID number:This is not the Federal Employer ID Number (FEIN)
2.  Name of the corporation:Name must match the name on record with the Secretary of State	
K.S.A	. 17-6003	Rev. 12/27/10 jdr
________________________________________________________    ____________\
____________________________________________	             	     Signature of authorized officer                 Date (month, day, year)                                                        ________________________________________________________    	     	     Name of signer (printed or typed)                                                  
6.  I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct and 
that I have remitted the required fee. 	  	
5.  Set forth the portion of the document in its corrected form:	
Instructions:	  
    ____________________________________________________________________\
___________________	_	
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4.  Specify the document and the inaccuracy that is to be corrected:	
Page 1 of 1	
3.  State/Country of incorporation:	    ______________________________________	_	
1.   Submit this form with the $35 filing fee. 
STAY UP-TO-DATE ON YOUR ORGANIZATION’S STATUS, ANNUAL REPORT DUE DATE AND CONTACT ADDRESSES BY GOING TO WWW.SOS.KS.GOV.  UNDER QUICK LINKS, SELECT SEARCH BUSINESS ENTITY INFORMATION. 
NOTICE: 	There is a $25 service fee for all checks returned by your financial institution.	 	All information must be completed or this document will not be accepted for filing.
Next: Kansas Corporation Certificate of Reinstatement Previous: Kansas Corporation Amendment Form
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