Application For Withdrawal Of Registration Of A Foreign Limited Liability Company

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This form must be type written
State of Utah
or computer generated. For your
File Number:______________
convenience, this form has been
DEPARTMENT OF COMMERCE
Print Form
designed to be filled out and
Division of Corporations & Commercial Code
printed online.
Clear Form
Application for Withdrawal of Registration of a Foreign Limited Liability Company
__________________________________________________________________________________________________
Limited Liability Company Name
Pursuant to the provisions of the Utah Limited Liability Company Act (U.C.A. 48-2c-1611), the
undersigned limited liability company submits this Application for Withdrawal of Registration of a Foreign
Limited Liability Company, and for this purpose declares:
First:
Filing date of articles of organization_________________________________________________;
Second:
It is organized under the laws of the State of ___________________________________________;
Third:
It is no longer transacting business in Utah;
Fourth:
It hereby surrenders its authority to transact business in Utah;
Fifth:
It revokes the authority of its registered agent in Utah to accept service of process, and consents
that service of process in any action, suit or proceeding based upon any cause of action arising in
Utah during the time the limited liability company was authorized to transact business in Utah may
thereafter be made on the limited liability company by service thereof on the Division of
Corporations and Commercial Code;
Sixth:
The address of its principal office, or if there is not one, the address to which the Division may mail
a copy of any process against the limited liability company that may be served is:
________________________________________________________________________________
Address
City
State
Zip
Seventh:
All outstanding fees and state tax obligations have been paid and the tax clearance certificate from
the State Tax Commission is attached.
Under penalties of perjury, I declare that this application for withdrawal has been examined by me and is,
to the best of my knowledge and belief, true, correct and complete.
Dated this ________ day of _______________________, 20_____
Authorizing Party sign here after the form is printed
By:____________________________________________________________
Limited Liability Company Member or Manager Signature
__________________________________________________________________
Typed Name & Title
FREE! You may visit our Web Site to access this document and other information.
Mail In: PO Box 146705
Salt Lake City, UT 84114-6705
Walk In:160 East 300 South, Main Floor
Information Center: (801) 530-4849
Toll Free: (877) 526-3994 (within Utah)
Fax: (801) 530-6438
Web Site:
Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes,
Revised 09/02
the business entity physical address may be provided rather than the residential or private address of any individual affiliated with the entity.

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