Form Br - Business Trust Resolution Of Withdrawal-Kansas Secretary Of State printable pdf download

Form Br - Business Trust Resolution Of Withdrawal-Kansas Secretary Of State

Fees will increase September 1, 2003. If you file this report

before September 1, the fee is $20.00. If you file this report after

September 1, the fee is $35.00.

Contact Information

KANSAS SECRETARY OF STATE

Business Trust Resolution of Withdrawal

Kansas Secretary of State

Ron Thornburgh

53-04

Memorial Hall, 1st Floor

All information must be completed or this document will not be accepted for filing.

120 S.W. 10th Avenue

Topeka, KS 66612-1594

(785) 296-4564

Reset

Please complete the form, print, sign and

Name of business trust:

mail to the Kansas Secretary of State with

the filing fee. Selecting 'Print' will print

the form and 'Reset' will clear the entire

____________________________________________________

form.

Name must match name on record with the secretary of state

The above-named business trust surrenders its authority to transact business

Do not write in this space

in the state of Kansas and withdraws from the state of Kansas.

The undersigned is an officer or trustee of the business trust and he/she certi-

fies that the foregoing resolution is a true and correct copy of the resolution

adopted by the Board of Trustees and that he/she is authorized by the board to

file this resolution with the secretary of state.

I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct.

Executed on the ________ of ___________ , _____________

Day

Month

Year

__________________________________________

Signature of officer/trustee

Instructions

1. All annual reports and franchise taxes must be filed and paid prior to withdrawal.

2. Submit this form in duplicate with the $35 filing fee.

Notice: There is a $25 service fee for all returned checks.

Rev. 8/11/03 amc

K.S.A. 17-2037

Form Br - Business Trust Resolution Of Withdrawal-Kansas Secretary Of State