Withdrawal Of Foreign Corporation (Stock Or Nonstock Corporation) Form - Instructions

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WITHDRAWAL
OF FOREIGN
CORPORATION
(Stock or Nonstock Corporation)
Filing Fee: Stock $50
Non-stock $20
COMPLETING
THE APPLICATION
FOR CERTIFICATE
OF WITHDRAWAL
A foreign corporation authorized to transact business in Connecticut may withdraw its certificate
of authority by filing an Application for Certificate of Withdrawal.
The withdrawing corporation
must appoint the Secretary of the State as its agent for service of process for matters relating to
its activities in this state prior to withdrawal.
It must further commit to notify the Secretary of
the State of any changes to the address to which it would have copies of legal process sent
following withdrawal.
1.
2.
3.
4.
5.
Instructions
Correspond With Numbered Entries On The Form
NAME OF CORPORATION
IN STATE OR COUNTRY OF FORMATION:
Please
provide the complete name of the corporation as it appears on the records of the Secretary
of the State.
IF DIFFERENT FROM THE ABOVE, THE NAME UNDER WHICH THE
CORPORATION
TRANSACTS BUSINESS IN CONNECTICUT:
Please provide the
complete name under which the corporation transacts business in this state if it is different
from the name under which it is incorporated.
STATE OR COUNTRY OF INCORPORATION:
Please provide the corporation’s state or
country of incorporation.
THE MAILING
ADDRESS TO WHICH THE SECRETARY OF THE STATE MAY
MAIL ANY PROCESS SERVED UPON HIM IN ACCORDANCE
WITH THE ABOVE
STATED APPOINTMENT:
Please provide a complete address. Note: that it is the
corporation’s responsibility to file notices of any changes to this address following
withdrawal.
EXECUTION:
The document must be executed by an authorized official of the
corporation. That person must print or type their name, state the capacity under which they
sign and provide a signature. The execution constitutes a legal statement under the
penalties of false statement that the information
provided in the document is true.
MAKE CHECKS PAYABLE
TO THE SECRETARY
OF THE STATE

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