State Of Delaware Certificate Of Merger Of Domestic Corporation Into Domestic Limited Liability Company 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 Merger
Dear Sir or Madam:
Attached please find a Certificate of Merger form to be filed in accordance with
the General Corporation Law and the Limited Liability Company Act of the State of
Delaware. The fee to file the Certificate of Merger is a minimum of $274.00 ( $174.00
corporation fee and $100.00 limited liability company fee) if your document is more than
1 page, please add $9.00 for each additional page. You will receive a stamped “Filed”
copy of your submitted document. A certified copy may be requested for an additional
$30. Expedited services are available. Please contact our office concerning these fees.
Contact our Franchise Tax Section concerning taxes due on any Delaware entities
merging out of existence. A check for the tax payment and the filing/assessment fee must
accompany the Certificate for filing. Please make your check payable to the “Delaware
Secretary of State”.
For the convenience of processing your order 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. Please make sure you thoroughly complete all information requested
on this form. 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
encl.
rev. 07/04

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