Form L-110a - Certificate Of Termination - 2014 Page 2

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L-110A Rev. 11/2014
Instructions for Form L-110A
CERTIFICATE OF TERMINATION
LIMITED LIABILITY COMPANY
NJSA 42:2C-49
NO FEE
The MANDATORY fields are:
Field #1 -- Name of Limited Liability Company:
List the name as it appears on the records of the State Treasurer.
Field #2 -- Business ID Number:
Provide the 10-digit ID number issued by the State of New Jersey.
Field #3 --
Attests that all affairs have been terminated.
Field #4 --
Attests that all assets have been distributed and have been applied to creditors or
distributed to the members.
Field #5 --
Attests that all debts, obligations or other liabilities have been discharged, settled and
closed.
EXECUTION (
)
DATE/SIGNATURE
An authorized representative must sign and date the form.
**********

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