Notice Of Cancellation Form Of Assumed Business Name Or Limited Liability Partnerships - Montana - 2009

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STATE OF MONTANA 
 
Prepare, sign and submit with the proper filing fee. 
 
 
This is the minimum information required. 
NOTICE of CANCELLATION of 
(This space for use by the Secretary of State only) 
ASSUMED BUSINESS NAME or  
 
LIMITED LIABILITY PARTNERSHIPS  
 
 
 
 
   
 
LINDA McCULLOCH
MAIL:
 
Secretary of State 
 
P.O. Box 202801 
 
Helena, MT 59620‐2801 
 
PHONE:   
(406) 444‐3665 
 
 
FAX: 
(406) 444‐3976
 
 
 
WEB SITE:
sos.mt.gov
 
 
No Fee
 
                          
24 Hour Priority Filing Add $20.00 
 
           
 1 Hour Expedite Filing Add $100.00
P
: 
LEASE CHECK ONE BOX
 
Cancellation of ABN (30‐13‐213, MCA) 
 
Cancellation of LLP (30‐13‐213, MCA) 
 
1. 
The Assumed Business Name or LLP to be canceled is:  
 
_____________________________________________________________________________________________ 
 
If the document is hand written, please print legibly or the application may be denied. 
 
2. 
The name and address of the applicant /owner(s)  are as follows (
Must list all owners/partners/members currently registered 
): 
with the office of the Montana Secretary of State 
 
Name: ________________________________________________________________________________________ 
 
Street Address: _________________________________________________________________________________ 
 
City: _________________________________________________  State: _________  Zip Code: ________________ 
 
I,
H
S
A
, under penalty of law, that the facts contained in this Application are true. 
 
EREBY 
WEAR AND 
FFIRM
 
_______________________________________      ____________________________________________________ 
Signature of Applicant (
) 
 Title/Ownership Interest in Business Organization 
 
only 1 signature is required
 
Notary Requirement. Please be sure to have this form properly notarized. 
3.           
 
State of: ___________________________  County of: _________________________________________________ 
 
Signed or attested before me on: ________________     by _____________________________________________ 
 
 
 
             (month/day/year)   
(Name of applicant who signed above) 
 
__________________________________________________________ 
Signature of Notary 
 
__________________________________________________________ 
Printed name of notary public 
Notary public for the state of: __________________________________ 
 
Residing at: ________________________________________________ 
 
(Affix Notarial Seal/Stamp Above)                My commission expires: ______________________________________ 
Cancellation_of_ABN_or_LLP.doc 
Revised: 09/15/2009 

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