Form SPCS-11-12 "Company Name Change Application" - Georgia (United States)

What Is Form SPCS-11-12?

This is a legal form that was released by the Georgia Department of Agriculture - a government authority operating within Georgia (United States). As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Georgia Department of Agriculture;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form SPCS-11-12 by clicking the link below or browse more documents and templates provided by the Georgia Department of Agriculture.

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Download Form SPCS-11-12 "Company Name Change Application" - Georgia (United States)

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Structural Pest Section
19 Martin Luther King, Jr. Dr.
Atlanta, Georgia 30334-4201
Phone: (404) 656-3641
Fax: (404) 463-6671
COMPANY NAME CHANGE APPLICATION
Use this form to request a change in the name of the company.
Company License Number _______________
Date___________________________
Present Company
Name_________________________________________________________________
REQUESTED NEW COMPANY NAME:
Submitted and Signed by
______________________________________________________________________
E-mail address:
______________________________________________________________________
Submit this form by mail, fax or e-mail (pest@agr.georgia.gov)
Additional Remarks:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
SPCS-11-12
Structural Pest Section
19 Martin Luther King, Jr. Dr.
Atlanta, Georgia 30334-4201
Phone: (404) 656-3641
Fax: (404) 463-6671
COMPANY NAME CHANGE APPLICATION
Use this form to request a change in the name of the company.
Company License Number _______________
Date___________________________
Present Company
Name_________________________________________________________________
REQUESTED NEW COMPANY NAME:
Submitted and Signed by
______________________________________________________________________
E-mail address:
______________________________________________________________________
Submit this form by mail, fax or e-mail (pest@agr.georgia.gov)
Additional Remarks:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
SPCS-11-12