Form Dsf Stk - Short Form Dissolution Certificate - 2016 Page 3

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2.
If known, enter the 7-digit file corporate
• The 7-digit file number is provided by the Secretary of State
number issued to the corporation by
above the file stamp at the top of the corporation’s
the California Secretary of State at the
registration document filed with the California Secretary of
time of registration.
State.
• To ensure you have the correct file number and exact name
of the corporation, look to your registration document filed
with the California Secretary of State and any name change
amendments.
• Secretary of State Records can be accessed online through
our Business Search at BusinessSearch.sos.ca.gov. While
searching the Business Search, be sure to identify your
corporation correctly
including
the
jurisdiction
that
matches your corporation.
3.
• These required statements must not
• If ANY of the required statements are not true, the
be altered.
corporation cannot file this Short Form Dissolution
Certificate (Form DSF STK) and must follow the normal
• These required statements ALL must
dissolution process. See Certificate of Dissolution
(Form
be true.
DISS STK)
and if applicable, Certificate of Election to Wind
Up and Dissolve
(Form ELEC
STK).
• See
Final Tax Returns
section below.
4
You must check the appropriate box
• If the corporation has filed a Statement of Information with
(check one).
the California Secretary of State pursuant to California
Corporations Code section 1502, the second box cannot
be checked.
5.
• If the first box of Item 4 was
• Verification requires a statement under penalty of perjury
checked, Form DSF STK must be
under the laws of the State of California that the matters set
dated, signed and verified by the
forth in the certificate are true and correct of the signor’s
sole director or a majority of the
own knowledge. (Section 193.)
directors now in office; or
• To complete the verification, the date must be the date the
• If the second box of Item 4 was
document is signed by each director or incorporator.
checked, Form DSF STK must be
• If you need more space for additional signatures:
dated, signed and verified by the
sole incorporator or a majority of the
- The dated signature(s) with verification must be
incorporators.
placed on only one side of a standard letter-sized piece
of paper (8 1/2" x 11") clearly marked as an attachment
to Short Form Dissolution Certificate (Form DSF STK)
and attach the extra page(s) to the completed Short
Form Dissolution Certificate (Form DSF STK).
- The following verification must be included with
additional signatures and date(s) on an attachment: I
declare under penalty of perjury under the laws of the
State of California that the matters set forth in the
certificate are true and correct of my own knowledge.
- All attachments are part of this document.
• Multiple Short Form Dissolution Certificates (Form DSF
STK) with different signatures will be returned without
being filed.
2016 California Secretary of State
DSF STK Instructions (REV 12/2016)

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