Requirements For Dissolution Of A Profit Corporation By Incorporators, Application For Tax Clearance For Dissolution/withdrawal - New Mexico Public Regulation Commission Etc. Page 3

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PUBLIC REGULATION COMMISSION
APPLICATION FOR TAX CLEARANCE FOR
DISSOLUTION/WITHDRAWAL
***INFORMATION MUST BE LEGIBLE***
DATE: __________________
RE: __________________________________________________________________________________
(PRINT EXACT CORPORATE NAME AS REGISTERED WITH OUR OFFICE)
NMPRC # ____________________ TAXATION & REVENUE ID # _____________________________
SUBJECT: TAX CLEARANCE REQUEST FOR DISSOLUTION/WITHDRAWAL
THIS CORPORATION IS IN THE PROCESS OF DISSOLVING/WITHDRAWING FROM THE
STATE OF NEW MEXICO AND IS REQUESTING TAX CLEARANCE.
FINAL DAY OF BUSINESS: Month __________ Day __________ Year __________.
NOTE: THE CORPORATION CANNOT BE ISSUED A TAX CLEARANCE FOR A FUTURE DATE OR IF IT IS
DELINQUENT IN FILING REPORTS AND/OR PAYING FEES DUE. ALSO, A FINAL REPORT MAY BE
REQUIRED THROUGH THE FINAL DAY OF BUSINESS. YOU WILL BE ADVISED ACCORDINGLY.
_______________________________________________
SIGNATURE OF OFFICER OR AUTHORIZED AGENT
NAME: ___________________________________________________
ADDRESS: ________________________________________________
CITY: ________________STATE: _______ZIP CODE: ____________
TELEPHONE: (_____)_______________________________________
MAIL TO:
PUBLIC REGULATION COMMISSION
TAX COMPLIANCE DIVISION
PO BOX 1269
SANTA FE, NM 87504-1269
PHONE: (505) 827-4510

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