Form C-159c - Certificate Of Dissolution Form

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C-159C Rev. 7/92
State of New Jersey
CERTIFICATE OF DISSOLUTION
Without Assets
(Title 14A:12-4. 1)
1. Name of Corporation:
2. Corporation Number:
3. Set forth the name and address of the shareholders executing the certificate OR the name, address
and title of the officer executing the certificate;
4. The corporation has no assets, has ceased doing business and does not intend to recommence doing
business, and has not made any distributions of cash or property to the shareholders within the last
24 months and does not intend to have any distribution following its dissolution.
5. The shareholders have authorized the dissolution by signing the Certificate of Dissolution in person or
by proxy, or the board and the shareholders have authorized the dissolution as provided by law, or 30
days prior written notice of the dissolution has been mailed to or personally served upon all known
directors and shareholders at their last known address and not one of them has objected to the
dissolution.
6. The shareholders/officers executing the certificate believe(s) that all of the statements in the certificate
are true under penalty of perjury.
Signature:
Date:
Signature:
Date:
Signature:
Date:
Signature:
Date:
NJ Division of Revenue, PO Box 308, Trenton, NJ 08646

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