Form 05-359 - Request For Certificate Of Account Status To Terminate Corporate Existence In Texas

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05-359

(Rev.1-04/7)

REQUEST FOR CERTIFICATE OF

ACCOUNT STATUS TO TERMINATE

CORPORATE EXISTENCE IN TEXAS

ATTENTION:

A corporation or limited liability company that intends to dissolve or otherwise terminate its charter or Certificate of Authority must be current

with tax filing requirements for all taxes administered by the Comptroller under Title 2 of the Texas Tax Code and all tax accounts for those taxes must be closed.

To determine if the corporation or limited liability company is current in tax requirements and to close any open tax accounts, call toll free 1-800-252-1381 from

anywhere in the United States. The Austin number is 512/463-4600. From a Telecommunications Device for the Deaf (TDD) ONLY call 1-800-248-4099 toll free,

or call 512/463-4621.

CORPORATE INFORMATION

Legal entity name

Taxpayer number

File number (From the Texas Secretary of State)

TEXAS ENTITY

If the corporation or limited liability company is chartered in Texas, indicate the filing for which the certificate is required:

Dissolution

Merger

Entity conversion

FOREIGN ENTITY

If the corporation or limited liability company is chartered outside of Texas, please complete the following information:

1. Is the corporation or limited liability company still conducting business in Texas? ..........................................................................

YES

2. If “NO,” enter the last day of business activity in Texas: _____________________________________________________________________________

3. Does the corporation or limited liability company still have an active charter in its home state? ......................................................

YES

4. If “NO,” please indicate how the home state charter was terminated and the effective date:

month

day

year

Dissolution effective date: ................................

Merger effective date: ......................................

Name of survivor: ____________________________________

Entity conversion effective date: .......................

NOTE: If the home state charter has been terminated, a copy of the home state documentation evidencing that the corporation or limited liability

company ceased to exist must accompany this request. The home state documentation must bear the seal of the secretary of state or other

filing agency and the effective date of the filing.

The Secretary of State now offers filing of dissolutions and withdrawals through the SOSDirect System, on-line at

index.shtml. To assist you in filing these forms you can now request the Certificate of Account Status in electronic (.pdf) format. Fax is also available for

your convenience. Please note that all requests are processed in the order received, regardless of the format you select.

Please indicate below the format you would like to receive your certificate.

FAX number

Telephone number

FAX

(Area code and number): ______________________________ (Area code and number): __________________________________

.PDF

E-mail address: ____________________________________________________________________________________________

Mail

Mailing address: ____________________________________ City: ____________________ State: ______ ZIP code: _________

Requestor name (Please type or print)

Telephone number & extension

Authorized agent

FOR ASSISTANCE: If you have any questions regarding franchise tax, you may contact the Texas State Comptroller’s field office in your area or call

1-800-252-1381, toll free, nationwide. The Austin number is 512-463-4600. From a Telecommunications Device for the Deaf (TDD), call 1-800-248-4099, toll free, or

in Austin, 512-463-4621.

Under Ch. 559, Government Code, you are entitled to review, request, and correct information we have on file about you, with limited exceptions in accordance with

Ch. 552, Government Code. To request information for review or to request error correction, contact us at the address or toll-free number listed on this form.

Mail to: COMPTROLLER OF PUBLIC ACCOUNTS

111 E. 17th Street

Austin, Texas 78774-0100