Sfn 58764 - Articles Of Dissolution And Termination By Members Form Page 3

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SFN 58764 (03-2008) Page 3
INSTRUCTIONS FOR BUSINESS/PROFESSIONAL/FARM LIMITED LIABILITY COMPANY
ARTICLES OF DISSOLUTION AND TERMINATION (CONTINUED)
ASSISTANCE: If assistance is required to complete the Articles of Dissolution and Termination, contact the Secretary of State's Office.
FAX FILING: The document and Credit Card Payment Authorization may be faxed to 701-328-2992. A faxed filing does not expedite the process of the
document in the office of the Secretary of State.
EMAIL: Email is not a secure utility for the transmission of private information or credit card authorizations. DO NOT EMAIL YOUR DOCUMENT TO THE
SECRETARY OF STATE.
MAILING INSTRUCTIONS: Send Articles of Dissolution and Termination and fee to:
Secretary of State
State of North Dakota
600 E Boulevard Ave Dept 108
Bismarck ND 58505-0500
Telephone: 701-328-4284
Toll Free: 800-352-0867 (8-4284)
Fax: 701-328-2992
Home Page:
CREDIT CARD PAYMENT AUTHORIZATION
SECRETARY OF STATE
SFN 51478 (11-06)
(All items required to complete transaction)
Name:
Amount Authorized
Address:
City:
State:
Zip Code:
Signature: (Required by credit card companies)
VISA
Master Card
Discover
Account Number:
V #
Card Expires:
Month
Year
Date:
-

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