FILING INSTRUCTIONS
CERTIFICATE OF WITHDRAWAL OF A FOREIGN BUSINESS TRUST
NAME
Use the exact name of the business entity as registered on file with the Office of the Secretary of State.
DATE AUTHORIZED
State the date the business trust first received authority to transact business in Kentucky.
DOCUMENT DELIVERY
All documents will be sent to the return address on the outer envelope. If no address is found, the documents will be sent to the principal office. If the
applicant wishes for correspondence from the Office of the Secretary of State to be sent to someone other than those above, a request must be
submitted in writing affirming that request. All other communication and notification shall follow the process prescribed in Kentucky Revised Statute.
WHO MAY SIGN
The document must be signed by a trustee.
NUMBER OF COPIES
When filing online with the FastTrack system, no copies are required. If filing via mail or in person, one exact or conformed copy of the documents with
the filing fee must be submitted to the address below. To make a copy of the filing for delivery to the local county clerk’s office, visit and
print a copy from the organization search tool.
FILING FEE
The filing fee for this document is $15.00. Checks should be made payable to the "Kentucky State Treasurer."
MAILING ADDRESS
OFFICE LOCATION
Trey Grayson
Room 154, Capitol Building
Office of the Secretary of State
700 Capital Avenue
P.O. Box 718
Frankfort, KY 40601
Frankfort, KY 40602-0718
Hours of Operation: 8:00 AM-4:30 PM ET
CONTACT INFORMATION
If you have any questions, please feel free to visit our website at or call 502-564-3490.
(09/09)