Certificate Of Conversion From A Delaware Statutory Trust To A Non-Delaware Entity Pursuant To Section 3821 Of The Statutory Trust Code Form

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Delaware Division of Corporations
401 Federal Street – Suite 4
Dover, DE 19901
Phone: 302-739-3073
Fax: 302-739-3812
Certificate of Conversion from a
Delaware Statutory Trust
to a Non-Delaware Entity
Dear Sir or Madam:
Enclosed please find a form for a Certificate of Conversion from a Delaware
Statutory Trust to a Non-Delaware Entity. The fee to file the Certificate of Conversion is
$230.00. You will receive a certified copy of your document. Expedited services are
available please contact our office concerning these fees. Please make any check payable
to “Delaware Secretary of State”.
In order to process your request in a timely manner, please include a cover letter
with your name, address and telephone/fax number to enable us to contact you if
necessary.
For your convenience a cover sheet is available at the following link.
Please make sure you thoroughly complete
all information requested on these forms. It is important that the execution be legible, we
request that you print or type your name under the signature line.
Thank you for choosing Delaware as your corporate home. Should you require
further assistance in this or any other matter, please don’t hesitate to call us at (302) 739-
3073.
Sincerely,
Department of State
Division of Corporations
Rev 09/05

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