Application For Certificate Of Withdrawal - Idaho Secretary Of State
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APPLICATION FOR CERTIFICATE
OF WITHDRAWAL
Click here to clear form.
(Instructions on back of application)
To the Secretary of State of Idaho
Pursuant to Section 30-1-1520, Idaho Code, the undersigned Corporation hereby applies for a
certificate of withdrawal from the State of Idaho, and for that purpose submits the following statement:
1. The name of the corporation is:
______________________________________________________________________________ .
The name which it used in Idaho is:
______________________________________________________________________________ .
2. It is incorporated under the laws of ___________________________________________________ .
3. It is not transacting business in the State of Idaho.
4. It hereby surrenders its authority to transact business in said state.
5. It revokes the authority of its registered agent in the State of Idaho to accept service of process and
consents that service of process in any action, suit or proceeding based upon any cause of action
arising in the State of Idaho during the time it was authorized to transact business therein may
thereafter be made on it by registered or certified mail to the corporation at the address listed in item
6., below.
6. The post office address to which process against the corporation may be mailed is:
______________________________________________________________________________ .
7. It agrees to notify the Secretary of State of the State of Idaho of any change to the address in Item 6.
Customer Acct # :
(if using pre-paid account)
Signature
Secretary of State use only
Typed Name
Capacity
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