STATE OF ALABAMA
FOREIGN CORPORATION (BUSINESS OR NON-PROFIT)
CERTIFICATE OF WITHDRAWAL
PURPOSE: In order to withdraw (terminate/cancel) the registration
of a Foreign Corporation (hereinafter “foreign entity”) to transact
business in Alabama, the entity must deliver to the Secretary of State
for filing a Certificate of Withdrawal along with a Certificate of
Compliance obtained from the Alabama Department of Revenue
(ADOR) - see item #7 and attached sample - pursuant to Section 10A-
1-7.11, Code of Alabama 1975.
INSTRUCTIONS: Mail or fax two (2) signed originals of this
completed Certificate of Withdrawal, the Certificate of Compliance
(For SOS Office Use Only)
from ADOR, and the filing fee of $100.00 (credit card, check, or
money order) to the Secretary of State, Business Services,
P.O. Box 5616, Montgomery, Alabama, 36103-5616 or fax to
334-240-3138.
This form must be typed or laser printed.
1. Alabama Entity ID Number (Format: 000-000):
-
INSTRUCTION TO OBTAIN ID NUMBER TO COMPLETE FORM: If you do not have this number
immediately available (it is on the face of your original registration filing), you may obtain it on our website at
under the Government Records tab. Click on Business Entity Records, click on Entity
Name, enter the registered name of the entity in the appropriate box, and enter. The six (6) digit number containing
a dash to the left of the name is the entity ID number. If you click on that number, you can check the details page to
make certain that you have the correct entity – this verification step is strongly recommended.
2. The name of the foreign entity as registered in Alabama:
3. Entity’s jurisdiction of formation:
4. Street (No PO Boxes) Address of principal office:
Mailing Address (if different)
5. The above named foreign entity hereby certifies that the entity is no longer transacting business in Alabama.
6. The above named foreign entity hereby certifies that any money due or accrued to the State of Alabama has been paid
or that arrangements have been made for payment (attach copy of payment arrangements).
7. The original Certificate of Compliance from the Alabama Department of Revenue is attached. [Instruction to obtain
Certificate: call ADOR/Commissioner’s Office at 334-242-1189 and request a document showing that all
applicable taxes and fees due the State of Alabama have been paid.]
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Foreign Corporation Withdrawal - 1/2011