L-110A Rev.11/2014
New Jersey Division of Revenue and Enterprise Services
CERTIFICATE OF TERMINATION
Limited Liability Company
Title 42:2C-49
To file electronically:
1. Enter the information requested below and sign by typing your name in the signature field. The form can only be filled in using the free Adobe
Acrobat Reader 9.1 or greater. (See the pages following this form for field by field instructions, and notes on delivery and processing of work requests.)
2. Click the "Add Attachments" button to add attachments if required (Check the field by field instructions to see if you must include an attachment(s)).
3. After the form has been filled in properly, please save a copy to your computer so that you can upload the form to the State of New Jersey Division of
Revenue & Enterprise Services Central Forms Repository Web application by following the instructions in the next step.
4. Click the "Open the Central Forms Repository Home Page to start the Form Submission Process" button at the bottom of the form.
(This action will launch the State of New Jersey Division of Revenue & Enterprise Services Central Forms Repository Web application. If you have not
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application and follow the instructions for submitting your form and payment online.)
A domestic Limited Liability Company on file with the Division of Revenue and Enterprise Services may
use this form to terminate. The filer is responsible for ensuring strict compliance with NJSA 42:2C, the
Revised Uniform New Jersey Limited Liability Company Act.
1. Name of Limited Liability Company: __________________________________________________
2. Business ID Number: _______________________________________________________________
3. The entity has wound up all affairs and is hereby terminated.
4. All assets have been applied to creditors or distributed to members.
5. All debts, obligations or other liabilities have been discharged, settled and closed.
This filing terminates the Limited Liability Company.
The undersigned represents that this filing complies with State law as detailed in NJSA 42:2C and that
they are authorized to sign this form on behalf of the Limited Liability Company.
Signature: ____________________________________
Date: _________________________
Name: _______________________________________
Title: _________________________
Add Attachments
Open the Central Forms Repository Home Page to start the Form Submission Process