Form 121-Btw - Resolution Of Withdrawal Of Business Trust By The Trustees Form - State Of Ohio

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J. Kenneth Blackwell
Prescribed by
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RESOLUTION
of Withdrawal of Business Trust
by the Trustees of
(Name of Business Trust)
(business trust registration number)
pursuant to section 1746.15, Ohio Revised Code
The undersigned hereby certifies that the Trustees of the above business trust, having made the filings described in section
1746.04 of the Ohio Revised Code, and desiring to withdraw from the State of Ohio, did on
, adopt the
following resolution:
(date)
RESOLVED, that the business trust hereby declares its intention to withdraw from the State of Ohio.
BE IT FURTHER RESOLVED, that upon the filing of this, a verified copy of the resolution of withdrawal and accompanying
affidavit regarding tax liability and service of process, in the office of the Secretary of State of Ohio, the business trust is deemed to
have withdrawn from said state.
By:
Name:
Title:
STATE OF:
COUNTY OF:
I,
, being duly sworn, state that I am the
(title)
of
,and that the foregoing statements are true and correct to the best of my knowledge
(name of business trust)
and belief.
By:
Name:
Title:
Sworn to before me and subscribed in my presence
(date)
(Seal)
(NOTARY PUBLIC)
121-BTW
Page 1 of 2
Version: 7/15/99

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