Application For Reinstatement - State Of Utah

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State of Utah
___________________
DEPARTMENT OF COMMERCE
Division File Number
Division of Corporations & Commercial Code
Check Appropriate Box
Fee
G
Profit Corporation
$50.00
G
Non-Profit Corporation
$20.00
Application for Reinstatement
G
Limited Partnership
$50.00
G
Limited Liability Company
$50.00
(Business Entity Name)
I,
hereby declare and affirm that:
(Print name)
I am a
of
,
(Officer, General Partner, or Member)
( Business Name )
which was involuntarily dissolved or canceled on the
day of
, 20
, under provisions of Utah law.
I hereby remedy all prior defaults and file herewith a current annual report together with the required annual report and
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.
*If the above mentioned corporation name is not available for use at the time of reinstatement, the following corporation
name shall be used:
(New Corporation Name)
STATE OF UTAH
By:
DIVISION OF CORPORATIONS & COMMERCIAL CODE
(Signature)
Mail In: 160 East 300 South, 2nd Fl, Box 146705
Title:
Walk In: 160 East 300 South, Main Floor
Salt Lake City, Utah 84114-6705
Phone Number:
Service Center: (801)530-4849
(Daytime phone number)
Toll Free for Utah Residents: (877)526-3994
Fax: (801)530-6438
Submit the following items with this application:
Web Site:
!
An Annual Report showing the new registered agent's
signature
!
A tax letter of Good Standing from the Utah Tax Commission
(if applicable)
!
Your filing fee payable to the State of Utah.
You may visit our Web Site for this form and access other information.
common\forms\Misc\cmborein
Revised: 02-28-00 mm

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