Update Form

Update Form

Name of Entity:

ID#: Example: 2000-000123456

The above entity is requesting an update be made to reflect their most current information:

Principal Address:

Mailing Address:

Phone:

Fax:

Email: (Email provided will receive annual report reminders and filing evidence) *May list multiple email addresses

Signature: _____________________________________

Date: _________________________

Printed Name: __________________________________

Title: _________________________________________

 

Form may be submitted by: Fax 307.777.5339 Email: SOSReques[AT]wyo.gov

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