Form 08-475 - Application For Certificate Of Withdrawal - Department Of Community And Economic Development

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STATE OF ALASKA
APPLICATION FOR CERTIFICATE OF WITHDRAWAL
Your corporation email/website address: _________________________________
Pursuant to the provisions of Section 10.20.565 of the Alaska Nonprofit Corporation Act, the undersigned corporation applies for
a Certificate of Withdrawal from the State of Alaska.
1.
The name of the corporation is:
2.
Address of the corporation is:
3.
It is incorporated under the laws of:
4.
It hereby surrenders its authority to transact business in the State of Alaska.
5.
The post office address to which the Commissioner of Community and Economic Development may mail a copy of any
process against the corporation that may be served on him is:
Date
,
Name of Corporation
By:
President or Vice President
and
Secretary or Assistant Secretary
F
MAIL THE ORIGINAL AND AN EXACT COPY OF THE APPLICATION
ALONG WITH THE $25.00 FILING FEE TO:
Department of Community and Economic Development
Corporations Section
P.O. Box 110808
Juneau, Alaska 99811-0808
(907) 465-2530
08-475 (7/99)

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