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Check and complete at least one: The inaccuracy or defect to be corrected is (include Department of State form name and date filed):. Enter the complete name of the business entity exactly as it appears in the records of the Secretary of State.Document to be corrected is: (CHECK THE APPROPRIATE BOX AND COMPLETE THE APPLICABLE STATEMENT. ☐. Contains an incorrect statement. Instructions: • Complete and include this form with your paper submission. Complete and file the Certificate of Correction with the Department of State. Submit the completed form in duplicate along with the filing fee. How to complete the form: 1. List the entity's ID number. If the entity is changing shares (increase or decrease), complete the total authorized shares in Section 5.