Consent Of Stockholders For S Revocation Page 2

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[COMPANY LETTERHEAD]
VIA CERTIFIED MAIL
R
R
R
ETURN
ECEIPT
EQUESTED
[DATE]
Internal Revenue Service
1
[ADDRESS]
Re:
[COMPANY NAME]
[EIN: _______________]
Revocation of S Corporation Election
Dear Sir/Madam:
Notice is given, pursuant to Section 1372(a) of the Internal Revenue Code, that [NAME
OF CORPORATION], a _________ corporation hereby revokes its S Corporation
Election filed [DATE].
The number of shares of the corporation’s stock (including non-voting stock, if any)
issued and outstanding at the time of this revocation are _______.
The first taxable year for which this revocation is intended to be effective is fiscal year
end [YEAR].
Required stockholder consent is attached hereto. Please direct any questions regarding
this revocation to [CONTACT NAME AND PHONE NUMBER].
Sincerely,
[CORPORATE OFFICER NAME/TITLE]
1
For correct filing office, see LeapLaw’s
IRS Service
Center.
Revocation of S Election

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