CERTIFICATE OF SURRENDER OF RIGHT
TO TRANSACT INTRASTATE BUSINESS
On behalf and by authority of:
______________________________________________________________________
(Name of Corporation)
_________________________________________________________ , a corporation
organized under the laws of _______________________________________________,
(State or Place of Incorporation)
the undersigned officer of said corporation does hereby certify and declare:
1. Said corporation hereby surrenders its right and authority to transact intrastate
business in the State of California.
2. Said corporation hereby revokes its designation of agent for service of process in
California.
3. Said corporation consents that process against it in any action upon any liability or
obligation incurred within the State of California prior to the filing of this Certificate of
Surrender of Right to Transact Intrastate Business may be served upon the
California Secretary of State.
4. The post office address to which the California Secretary of State may mail copies of
any process against the corporation that is served upon the Secretary of State is
___________________________________________________________________
___________________________________________________________________.
5. A final franchise tax return, as described by Section 23332 of the Revenue and
Taxation Code, has been or will be filed with the Franchise Tax Board, as required
under Part 10.2 (commencing with Section 18401) of Division 2 of the Revenue and
Taxation Code.
_________________________________________
(Signature of Corporate Officer)
_________________________________________
(Type or Print Name of Corporate Officer)
Secretary of State Form
SURRENDER-CORPORATION (REV 01/2013)
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