Form Fpr-Wd - Application For Certificate Of Withdrawal - 2013 Page 2
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2325 Don Gaspar, Suite 300 ∙ Santa Fe, NM 87501
(800) 477-3632 ∙
Dated: _______________________
_________________________________________
Name of Corporation
By_______________________________________
Signature of Authorized Officer
THE CLEARANCES FOR WITHDRAWAL ISSUED BY THE FOLLOWING NEW
MEXICO STATE AGENCIES MUST BE ATTACHED TO THIS DOCUMENT:
1) Taxation and Revenue Department (“Certificate of No Tax Due”)
2) Department of Labor (“Certificate of Compliance”)
3) Secretary of State (“Letter of Clearance”)
Form FPR-WD
(revised 06/13)
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