Application For Reinstatement - Utah Department Of Commerce
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1Link to Registration Information Change Form
This form must be type written or computer generated.
State of Utah
Department of Commerce
Link to Guide Sheet
Division of Corporations & Commercial Code
Application for Reinstatement
Clear Form
Print Form
Link to Tax Commission Forms
Non-Refundable Processing Fee:
[ ] Profit $70.00 [ ] Nonprofit $30.00 [ ] Limited Partnership $70.00 [ ] Limited Liability Company $70.00
File Number of Business Entity:
Business Entity Name:
*Please enter the business name under which the entity is being reinstated on the line above, however, if the entity is reinstating
under a different name, please list that name on the line below:
____________________________________________________________________________________________
(New Business Entity Name)
You must submit with this application a completed
Registration Information Change Form
reflecting the
current principal information. Enclose a tax letter of Good Standing from the Utah Tax Commission
(applicable to Profit and Nonprofit Corporations).
Registered Agent Name and Address (Required):
Who/What is the name of the Registered Agent (Individual or Business Entity or Commercial Registered Agent)?:
________________________________________________________________________________________
The address must be listed if you have a non-commercial registered agent. See instructions for further details.
What is a commercial registered agent?
___________________________________________________________
Address of the Registered Agent:
Utah Street Address Required, PO Boxes can be listed after the Street Address
City:
State UT
Zip:
I hereby remedy all prior defaults and file herewith a current Registration Information Change Form listing the current entity
principals together with the statutory reinstatement fee.
I hereby make application for reinstatement and request the Division of Corporations and Commercial Code of the State of Utah
to issue a Certificate of Reinstatement and, under penalties of perjury, I declare that the foregoing statement is, to the best of my
knowledge and belief, true and correct.
I, _________________________________________________________________, hereby declare and affirm that
(Name)
I am a(n) ____________________________________
of the business entity
(Officer/Director, General Partner, or Member/Manager)
listed above, which was involuntarily dissolved on _________________________ , 20 _______ , under
provisions of Utah law.
Signature
:
(Required)
Sign here after printing form
Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes, you may
use the business entity physical address rather than the residential or private address of any individual affiliated with the entity.
Optional Inclusion of Ownership Information: This information is not required.
Is this a female owned business?
Yes
No
Select/Type the race of the owner here
Is this a minority owned business?
Yes
No
If yes, please specify:
Mailing/Faxing Information:
/contactus.html
Division's Website:
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