Form Bcs/cd-546 - Certificate Of Termination Of Registration Of Corporate Name - 2011
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3BCS/CD-546 (Rev. 04/11)
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
BUREAU OF COMMERCIAL SERVICES
Date Received
(FOR BUREAU USE ONLY)
This document is effective on the date filed, unless a
subsequent effective date within 90 days after received
date is stated in the document.
Name
Address
ZIP Code
City
State
Effective Date:
Ç
È
Document will be returned to the name and address you enter above.
If left blank document will be mailed to the registered office.
CERTIFICATE OF TERMINATION OF REGISTRATION OF CORPORATE NAME
For use by Foreign Profit Corporations
(Please read information and instructions on the last page)
Pursuant to the provisions of Act 284, Public Acts of 1972, the undersigned corporation executes the following Certificate:
1. The name of the corporation is:
2. The identification number assigned by the Bureau is:
3. The mailing address of the corporation is:
4. The jurisdiction of its incorporation is:
The date it was incorporated in that jurisdiction is:
5. The Registration of Corporate Name filed on the ________________ day of ____________________ , _________ is
hereby terminated.
Signed this ___________ day of ___________________, ____________
By _______________________________________________________
(Type or Print Name)
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