Application For Certificate Of Withdrawal For Foreign Corporation (For Profit)

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DEPARTMENT OF CONSUMER AND REGULATORY AFFAIRS
BUSINESS AND PROFESSIONAL LICENSING ADMINISTRATION
CORPORATIONS DIVISION
941 NORTH CAPITOL STREET, N.E.
WASHINGTON, D.C. 20002
Government
of the
District of Columbia
APPLICATION FOR CERTIFICATE OF WITHDRAWAL
FOR FOREIGN CORPORATION (FOR PROFIT)
To:
DEPARTMENT OF CONSUMER AND REGULATORY AFFAIRS
BUSINESS AND PROFESSIONAL LICENSING ADMINISTRATION
CORPORATIONS DIVISION
941 NORTH CAPITOL STREET, N.E.
WASHINGTON, D.C. 20002
Pursuant to the provisions of the District of Columbia Business Corporation Act, the
undersigned corporation hereby applies for a Certificate of Withdrawal from the District
of Columbia and for that purpose submits the following:
1. Name of Corporation
_____________________________________________________________________
2. Where Incorporated
_______________________________________________________________________
3. It is not transacting business in the District of Columbia and hereby surrenders its
authority to transact business in the District of Columbia.
4. It revokes the authority of its registered agent in the District of Columbia to accept
service of process and consents that service of process in any suit, action or proceeding
based upon any cause of action arising in the District of Columbia during the time the
corporation was authorized to transact business in the District of Columbia, may
thereafter be made on the corporation by service thereof on the Superintendent of
Corporations, D.C.
5. The post office address to which the Superintendent of Corporations may mail a copy
of any process against the corporation that may be served on him is (include street and
number)
________________________________________________________________________
Date: ______________________
Corporate Name __________________________________________________
(Corporate Seal)
By _______________________________________________
Its President or Vice President
FEES DUE: (MAKE CHECK PAYABLE TO THE D.C. TREASURER)
Filing Fee .......... $35.00

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