Form Ss-4255 - Written Consent To Dissolution

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For Office Use Only
WRITTEN CONSENT
TO
DISSOLUTION
Corporate Filing Unit
312 Eighth Avenue North
6 th Floor, William R. Snodgrass Tower
Nashville, TN 37243
We, the undersigned, being all of the shareholders or members
entitled to vote, hereby give our written consent to the dissolution of
(Corporate Name)
a corporation organized and existing under the laws of the State of Ten-
nessee on the following terms and conditions (Insert here any terms
and conditions which are desired and are in accordance with law):
Date: _____________________
Signature: _____________________
Name: _____________________
(Typed or Printed)
Signer’s Capacity: _____________________
SS-4255
No Filing Fee Required
RDA1678
Department of State, Division of Business Services

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