Application Of Foreign Corporation For A Certificate Of Withdrawal From Minnesota Form - 2009
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1For your convenience,
this form has been
designed to be
MINNESOTA SECRETARY OF STATE
completed online. You
must have Acrobat
APPLICATION OF FOREIGN CORPORATION FOR
Reader 7.0 or above
A CERTIFICATE OF WITHDRAWAL FROM MINNESOTA
to use this new
feature. Once your
(Filing Fee $50)
form is completed, be
sure to select "Print"
READ THE INSTRUCTIONS BEFORE COMPLETING THIS FORM
at the bottom of the
screen to capture your
1. The name of the corporation is:
data entry for printing.
After printing, sign and
send applicable fees
___________________________________________________________________________________________________
as required.Note:
Selecting "Reset" will
clear all data entry
2. The corporation, which is a ____________________________________________________ corporation
from this page. To
(list state or country of incorporation)
print a blank form, go
to File->Print.
authorized to transact business in Minnesota hereby applies for a Certificate of Withdrawal. This corporation has no property
located in Minnesota and has ceased to transact business in Minnesota.
The Board of Directors of the corporation has decided to surrender its authority to transact business in Minnesota and
revokes the authority of its registered agent to accept service of process.
3. Any process that may be served upon the Secretary of State of Minnesota after the withdrawal of this corporation from
Minnesota should be forwarded to:
___________________________________________________________________________________________________
(Name)
___________________________________________________________________________________________________
(Address)
(City)
(State)
(ZIP)
The corporation hereby promises to pay to the State Treasurer any additional fees found by the Secretary of State to be due
and owing.
4. I certify that I am authorized to execute this application and I further certify that I understand that by signing this application
I am subject to the penalties of perjury as set forth in Minnesota Statutes, section 609.48, as if I had signed this application
under oath.
__________________________________________________
(President, Vice-President, Secretary or Assistant Secretary)
Reset
Print
bus37 Foreign Corp Withdrawal rev. 6-09
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