Cancellation Of Certificate Of Authority Of A Foreign Limited Liability Company Form - South Dakota Secretary Of State

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CANCELLATION OF CERTIFICATE
Secretary of State Office
500 E Capitol Ave
OF AUTHORITY OF A
Pierre, SD 57501
(605)773-4845
Clear Form
FOREIGN LIMITED LIABILITY COMPANY
Please Type or Print Clearly in Ink
HELP
Original
Photocopy
Please submit one
and one
FILING FEE: $10
SECRETARY OF STATE
payable to
Telephone # ____________________
FAX #
_______________________
The undersigned, on behalf of the limited liability company named below, hereby cancels the certificate of authority
pursuant to SDCL 47-34A-1007.
1. The name of the company is ______________________________________________________________________
______________________________________________________________________________________________
Note: This must be the exact limited liability company name.
2. The state of its formation is ________________________________________________________________________
3. State the reason for filing this Certificate of Cancellation.
The cancellation must be signed by a member if the LLC is member-managed or by a manager if the LLC is manager-
managed.
Dated ____________________________
______________________________________________
(Signature of an Authorized Manager or Member)
______________________________________________
(Printed Name)
______________________________________________
(Title)
foreignllccancellation April 2012

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