Mississippi Llc Certificate Of Dissolution - Mississippi Secretary Of State

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OFFICE OF THE MISSISSIPPI SECRETARY OF STATE
P.O. BOX 136, JACKSON, MS 39205-0136
PHONE 601-359-1633 FAX 601-359-1499
Mississippi LLC Certificate of Dissolution
The undersigned pursuant to Mississippi Code Ann. §79-29-801 (1972) amended (2010), hereby
executes the following Certificate of Dissolution and sets forth:
1. Name of Limited Liability Company
2. The reason for filing the Certificate of Dissolution
3. The future effective date of dissolution
4. Any other information the members or managers determine to include
By: Signature
(
Please keep writing within box)
Printed Name
Title
Physical address
P O Box
City, State, Zip 5, Zip4
Make Check for $50.00 payable to SECRETARY OF STATE. Mail completed form with payment to
SECRETARY OF STATE, PO BOX 136, JACKSON, MS 39205-0136. For assistance contact a customer
service representative at (800) 256-3494. Visit our website at
for forms and instructions.

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