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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 name and mailing address to which any correspondence regarding this filing should be sent.Enter the complete name of the business entity exactly as it appears in the records of the Secretary of State. The form must be completed on a computer or typewriter. The enclosed Statement of Correction and fee(s) are submitted for filing. Complete the entire form and enter all requested information in the fields provided. Use these instructions when completing a Statement of Correction Revoking a Filed Document pursuant to § 7-90-305 of the Colorado Revised Statutes (C.R.S.). Use these instructions when completing a Statement of Correction Correcting Information Other Than. Complete the entire form and enter all requested information in the fields provided. Complete and include this form with your paper submission.