HomeMy WebLinkAbout2025-0087 - - UKG - Name Change Form Docusign Envelope ID:7C40C39D-BOFB-4ADE-98B4-DE067EBC09D5
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Name Change Form
Customer Information
Existing New
Name: Auburn Police Name: City of Auburn
Solution ID: 6105041 Solution ID: 6105041
Address: 25 West Main Street Address: 25 West Main Street
Address: Auburn,WA 98001 USA Address: Auburn,WA 98001 USA
Local Tax Identification#: 91-6001228 Local Tax Identification#: 91-6001228
Check A, B, or C below for the Reason of the Requested Name Change:
Customer's name has always been the new name. The customer's name is currently incorrect in UKG's
systems. Please sign below.
Customer's name has changed legally with no change to corporate ownership (i.e. no merger,
❑ B acquisition, divesture, tax id did not change). Please provide appropriate supporting documents and
sign below.
Customer's requests a different name that is not their Legal or Trade style name. Please include the
❑ C reason for the name change and sign below:
Customer Signature: Print Name: Title: Date:
1a DocuSlgnedby 2/13/2025
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195 prt404. Maor Nancy Backus Y
Instructions:
Customer Information:
Existing Information: Enter the information as it is in UKG's records. Please see your sales representative for assistance.
New Information: Enter New Customer's full legal or Trade style name and Solution ID, if changing.
Type of Name Change:
If you checked A or C, sign the form and return to your sales representative.
If you checked B, sign the form and attach the appropriate legal documents to support the name change.
Suggested legal documents to support name change:
• A certificate of filing for the name change with your state or commonwealth of incorporation
• Two W9 Forms(One with Existing name, one with New Name). The Federal Employer Identification Number(FEIN)on the
forms must match.
• Companies House(UK)
• ABN (Australia)
• NZBN (New Zealand)
Kronos Systems LLC,a UKG company