Application For Withdrawal Of Foreign Corporation Form printable pdf download

Application For Withdrawal Of Foreign Corporation Form

APPLICATION FOR WITHDRAWAL OF

FOREIGN CORPORATION

Pursuant to A.R.S. §§10-1520 & 10-11520

The name of the foreign corporation is:

_________________________________________________________________.

It is incorporated under the laws of _____________________________________.

[State, province or country]

The foreign corporation has transacted business/conducted affairs in the State of

Arizona and is not currently transacting business/conducting affairs in this state

The foreign corporation hereby surrenders its authority to transact business in the

State of Arizona.

The foreign corporation does hereby revoke the authority of its statutory agent to

accept process on its behalf and does hereby appoint the Arizona Corporation

Commission as its agent for service of process in any proceeding based on a cause of

action arising during the time it was authorized to transact business/conduct affairs in

this state.

Upon receipt of any process served upon it on behalf of the foreign corporation, the

Arizona Corporation Commission is requested to mail a copy to:

________________________________

The foreign corporation will notify the Arizona Corporation Commission in the

future of any change in the mailing address of the foreign corporation.

This application will not be complete until the Arizona Corporation Commission

has received from the Arizona Department of Revenue a notice that all

transaction privilege taxes have been paid or are not due and a certificate from

the department of revenue that all income tax returns have been filed and taxes

paid.

Dated this ________ day of ______________________, _______.

Signature:_____________________________________________

Printed Name: _____________________ Title: _______________

CF:0025 Foreign

Arizona Corporation Commission

Rev: 09/2008

Corporations Division

Application For Withdrawal Of Foreign Corporation Form