Form Llc-5.48 - Petition For Refund
Download a blank fillable Form Llc-5.48 - Petition For Refund in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Llc-5.48 - Petition For Refund with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Print
Reset
Illinois
LLC-5.48
FILE #
Form
Limited Liability Company Act
July 2003
This space for use by
Petition for Refund
Secretary of State.
Secretary of State Jesse White
Department of Business Services
Limited Liability Division
SUBMIT IN DUPLICATE
501 S. Second St., Rm. 351
Must be typewritten.
Springfield, IL 62756
217-524-8008
This space for use by Secretary of State.
Date:
Payment may be made by business
Filing Fee: $15
firm check payable to Secretary of
Approved:
State. If check is returned for any
reason this filing will be void.
1.
Limited Liability Company Name: __________________________________________________________________
2.
File Number assigned by the Secretary of State: _____________________________________________________
3.
State of Organization: __________________________________________________________________________
4.
Amount of Claim: _____________________________________________________________________________
No refund shall be made from an overpayment of less than $200.
Any amount to be refunded shall be reduced by $200.
5.
Details of Transaction and all facts upon which the petitioner relies:
(If there is not sufficient space to cover this point, attach additional sheets of this size.)
6.
I affirm, under the penalties of perjury, having the authority to sign hereto, that this penalty form is to the best of my
knowledge and belief, true, correct and complete.
Dated________________________________, ____________.
Month & Day
Year
______________________________________
Signature
______________________________________
Name and Title (type or print)
______________________________________
If applicant is a Company or other Entity, state Name of Company
and indicate whether it is a member or manager of the LLC.
Printed by authority of the State of Illinois. April 2007 — 500 — LLC 35.1
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal