Form Cf-5 - Application For Certificate Of Withdrawal Form - West Virginia Secretary Of State

ADVERTISEMENT

Joe Manchin, III
Penney Barker, Supervisor
Secretary of State
Corporations Division
State Capitol, Suite 139-W
Tel. (304) 558-8000
1900 Kanawha Blvd. E.
Fax (304) 558-0900
Charleston, WV 25305-0770
wvsos@secretary.state.wv.us
WEST VIRGINIA
APPLICATION FOR
PLEASE READ INSTRUCTIONS
FILE TWO ORIGINALS
CERTIFICATE OF WITHDRAWAL
CTRL # __ __ __ __ __
FEE $25
In accordance with §31-1-60 of the West Virginia Code, the undersigned corporation hereby applies for a certificate of
withdrawal from West Virginia, and submits the following statement:
1.
The name of the corporation is:
It is incorporated under the laws of:
IT IS NOT TRANSACTING BUSINESS IN WEST VIRGINIA.
It hereby surrenders its authority to transact business in West Virginia. It revokes the authority of its registered
agent in West Virginia to accept service of process, and consents that service of process in any action, suit or
proceeding based upon any course of action arising in West Virginia during the time the corporation was authorized
to transact business in West Virginia may thereafter be made on the corporation by service thereof on the Secretary
of State of West Virginia.
2.
Post office address to which the Secretary of
Street/Box:
State may mail a copy of any process against
City/State/Zip:
the corporation:
The aggregate number of shares which it has
3.
No. Of Shares:
Class:
authority to issue, itemized by classes, par
Series:
value of shares, shares without par, and
series, if any, within a class, as of this date is:
Par Value/No Par:
4.
The aggregate number of its issued shares,
No. Of Shares:
itemized by classes, par value of shares,
Class:
shares without par, and series, if any, within a
Series:
class, as of this date is:
Par Value/No Par:
5.
The amount of its stated capital as of this date is:
Date:
By:
President/Vice President
By:
Secretary/Treasurer
Note: Signatures Of Both Parties Are Required
Date:
STATE OF:
COUNTY OF:
I,
, a Notary Public, do hereby certify that the persons named above appeared
before me and signed the foregoing and the act and deed of the corporation.
My commission expires
Signature of Notary Public
(Place Notary Seal in this space)
Notarization Must Be Completed Before Certificate Can Be Accepted.
Issued by Joe Manchin, III, Secretary of State, Charleston, WV
Form CF-5
Rev. 1/01

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 2