Form Bcs/cd-561 - Application For Certificate Of Withdrawal Page 2
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2BCS/CD-561(Rev. 03/06)
Preparer's Name ____________________________
Business telephone number (____)______________
INFORMATION AND INSTRUCTIONS
1.
This form maybe used to draft your Certificate of Withdrawal. A document required or permitted to be filed under the act
cannot be filed unless it contains the minimum information required by the act. The format provided contains only the
minimal information required to make the document fileable and may not meet your needs. This is a legal document and
agency staff cannot provide legal advice.
2.
Submit one original of this document. Upon filing, the document will be added to the records of the Bureau of Commercial
Services. The original will be returned to your registered office address, unless you enter a different address in the box on
the front of this document.
Since this document will be maintained on electronic format, it is important that the filing be legible. Documents with
poor black and white contrast, or otherwise illegible, will be rejected.
3.
This Application is to be used pursuant to section 1031 of Act 284, P.A. of 1972 or Act 162, P.A. of 1962, for the
purpose of withdrawing a corporation's Certificate of Authority to Transact Business or Conduct Affairs in Michigan.
Upon filing of this Application a corporation surrenders it authority to conduct affairs in this state.
Within 60 days after submitting this certificate all corporations must request a tax clearance from the Michigan Department
4.
of Treasury, Tax Clearance Division, Lansing, Michigan 48922 (517) 636-5260.
All nonprofit corporations, except churches, must obtain a consent to dissolution or written statement that the consent is not
5.
required from the Michigan Attorney General, Consumer Protection and Charitable Trusts Division, P.O. Box 30214,
Lansing, MI 48909, (517) 373-1152. Application for the consent should be made at least 45 days before the desired
effective date of withdrawal. This certificate cannot be filed unless it is accompanied by the written consent or
written statement.
6.
Item 2 - Enter the identification number assigned by the Bureau. If this number is unknown, leave it blank.
7.
Complete the attached worksheet to determine if there are any unpaid fees payable.
8.
The Application must be signed by an authorized officer or agent of the corporation.
9.
NONREFUNDABLE FEE: Make remittance payable to the State of Michigan. Include corporation name and identification
number on check or money order.
$10.00
To submit by mail:
To submit in person:
2501 Woodlake Circle
Michigan Department of Labor & Economic Growth
Okemos, MI
Bureau of Commercial Services
Telephone: (517) 241-6470
Corporation Division
P.O. Box 30054
Fees may be paid by VISA or Mastercard
Lansing, MI 48909
when delivered in person to our office.
MICH-ELF (Michigan Electronic Filing System):
First Time Users: Call (517) 241-6470, or visit our website at
Customer with MICH-ELF Filer Account: Send document to (517) 636-6437
The Department of Labor & Economic Growth will not discriminate against any individual or group because of race, sex, religion, age, national
origin, color, marital status, disability or political beliefs. If you need help with reading, writing, hearing, etc., under the Americans with
Disabilities Act, you may make your needs known to this agency.
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