Form 6010 - Application For Voluntary Deregistration Of A Company
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1
26010
page 1/1
15 July 2001
ASIC registered agent number
lodging party or agent name
office, level, building name or PO Box no.
street number and name
suburb / city
state/territory
postcode
telephone (
)
facsimile (
)
DX number
suburb / city
ASS.
REQ-A
CASH.
REQ-P
PROC.
Australian Securities & Investments Commission
6010
form
Application for
Corporations Act 2001
voluntary deregistration of a company
601AA(1) & (2)
Company name
A.C.N.
Application
I, the applicant, apply to deregister the above company under subsection 601AA(2) of the Corporations Act 2001.
Declaration
I declare that the statements below are correct.
(a) All members of the company agree to the deregistration; and
(b) the company is not carrying on business; and
(c) the company's assets are worth less than $1000; and
(d) the company has paid all fees and penalties payable under this Act ; and
(e) the company has no outstanding liabilities; and
(f ) the company is not a party to any legal proceedings.
Details of the applicant
name (family & given names)
OR company name
(At the office of ) C/-
office
level
building name
street number & name
suburb/city
state/territory
postcode
country (if not Australia)
Details of nominee
If the applicant is the company, it must nominate a person to be given notice of the deregistration.
name (family & given names)
office
level
building name
street number & name
suburb/city
state/territory
postcode
country (if not Australia)
Signature
I certify that the information in this form is true and complete.
print name
capacity
sign here
date
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