Dissolution Of Corporation Sole - Nevada Secretary Of State

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ROSS MILLER
Secretary of State
204 North Carson Street, Ste 1
Carson City, Nevada 89701-4299
(775) 684 5708
Website: secretaryofstate.biz
Dissolution of
Corporation Sole
(PURSUANT TO NRS 84)
USE BLACK INK ONLY - DO NOT HIGHLIGHT
ABOVE SPACE IS FOR OFFICE USE ONLY
Certificate of Dissolution
For a Nevada Corporation Sole
(Pursuant to NRS 84)
1. Name of Corporation Sole:
2. The reason for the filing of the certificate of dissolution:
3. Any other information the representative filing the certificate determines:
4. Signature:
X
Name of Subscriber or Successor
Signature
FILING FEE: $50.00
IMPORTANT: Failure to include any of the above information and submit the proper fees may
cause this filing to be rejected.
This form must be accompanied by appropriate fees.
Nevada Secretary of State AM 84 Dissolution 2007
Revised on: 01/01/07
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