CA
Foreign Limited Liability Company Cancellation of Authority To Do Business in Kansas
All information must be completed or this document will not be accepted for filing.
Name must match the name on record with the Secretary of State
Do not write in this space
(Address must be a street
address. A post office box is unacceptable.)
__________________________________________________________________________________________
Street Address
City
State
Zip Code
Day
Month
Year
INSTRUCTIONS:
Contact Information
Ron Thornburgh
Rev. 7/01 hb
K.S.A. 17-76,125