Form Fbt-103 - Cancellation Of Registration Of Foreign Business Trust

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COMMONWEALTH OF KENTUCKY
TREY GRAYSON
SECRETARY OF STATE
CANCELLATION OF REGISTRATION OF FOREIGN BUSINESS TRUST
Pursuant to the provisions of KRS Chapter 386 the undersigned hereby cancels the registration on behalf of
the business trust named below and for that purpose submits the following statements:
1. The name of the business trust is
____________________________________________________________________________________.
2. The state or country of establishment is ____________________________________________________.
3. The date the business trust registered to do business in Kentucky is ______________________________.
4. The business trust is not transacting business in Kentucky and hereby cancels its registration.
5. The cancellation of registration by the foreign business trust will not terminate the authority of the Secretary
of State to accept service of process on the foreign business trust with respect to causes of action arising
out of the transaction of business in Kentucky.
_____________________________________________
Signature
_____________________________________________
Type or Print Name & Title
Date: ____________________________, 20_________
FBT-103 (8/98)
(See attached page for instructions)

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