Certificate Of Surrender Of Authority Form - New York Page 2
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1
2CERTIFICATE OF SURRENDER OF AUTHORITY
OF
(Insert name of Foreign Limited Liability Company)
Under Section 806 of the Limited Liability Company Law
Filed by:
(Name)
(Mailing address)
(City, State and Zip code)
NOTE: This form was prepared by the New York State Department of State for a certificate of surrender of
authority for a foreign limited liability company. It does not contain all optional provisions under the law. You
are not required to use this form. You may draft your own form or use forms available at legal supply stores. The
Department of State recommends that legal documents be prepared under the guidance of an attorney. The
certificate must be submitted with a $60 filing fee made payable to the Department of State.
(For office use only.)
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