Form Bcs/cd-561 - Application For Certificate Of Withdrawal
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2BCS/CD-561(Rev. 03/06)
MICHIGAN DEPARTMENT OF LABOR & ECONOMIC GROWTH
BUREAU OF COMMERCIAL SERVICES
Date Received
(FOR BUREAU USE ONLY)
This document is effective on the date filed, unless a
subsequent effective date within 90 days after received
date is stated in the document.
Name
Address
State
ZIP Code
City
Effective Date:
Document will be returned to the name and address you enter above.
If left blank document will be mailed to the registered office.
APPLICATION FOR CERTIFICATE OF WITHDRAWAL
For use by Foreign Corporations
(Please read information and instructions on reverse side)
Pursuant to the provisions of Act 284, Public Acts of 1972 (profit corporations), or Act 162, Public Acts of 1982 (nonprofit
corporations), the undersigned corporation executes the following Application:
1.
The name of the corporation is:
________________________________________________________________________________________________
2.
The identification number assigned by the Bureau is:
3.
It is incorporated under the laws of __________________________________________________________________
4.
The corporation is not transacting business or conducting affairs in Michigan.
5.
The corporation hereby surrenders its authority to transact business or conduct affairs in Michigan.
Signed this _____________ day of _____________________________, ___________
By ___________________________________________________________________
(Signature of authorized officer or agent)
_____________________________________________________________________
(Type or Print Name)
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Parent category: Legal