Certificate Of Reinstatement Limited Liability Company Form Page 2

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THE CERTIFICATE OF REINSTATEMENT MUST BE FILED
WITH A CURRENT ANNUAL REPORT.
Please call our office at (860) 509-6003 to obtain the reinstatement Annual Report.
Please contact the Department of Revenue Services or your tax advisor as to any potential
tax liability relating to your business.
INSTRUCTIONS FOR COMPLETION OF THE
CERTIFICATE OF REINSTATEMENT
CONNECTICUT LIMITED LIABILITY COMPANY
1.
NAME OF LIMITED LIABILITY COMPANY: Please provide the complete name of the
limited liability company, as it appeared on the records of the Secretary of the State. If the
name is no longer available, please complete and file Articles of Amendment, along with
the Certificate of Reinstatement, changing the name of the limited liability company to an
available name.
2.
APPOINTMENT OF REGISTERED AGENT: The limited liability company must appoint
a registered agent. It may not appoint itself as its registered agent. The registered agent
may be a natural person who is a resident of Connecticut; a Connecticut corporation;
limited liability company; registered limited liability partnership or statutory trust or a
foreign corporation; limited liability company; registered limited liability partnership or
statutory trust which has a certificate of authority to transact business in Connecticut.
Please note the following: if the agent being appointed is a natural person, that person's
business address must be provided under the heading Business address and their residence
address under the heading Residence address; if the agent appointed is an entity organized
under the laws of this state it must provide its principal office address under the Address
heading; if the agent appointed is an entity not organized under the laws of this state it must
provide its principal office in this state, if any. In each case the agent must sign accepting
the appointment in the space provided; the signatory must state the capacity under which
they sign if signing on behalf of a business entity; and all addresses must include a street
number, street name, city, state and postal code. Complete street addresses required. P.O.
Boxes are only acceptable as additional address information.
3.
EXECUTION: The document must be executed by an authorized official of the limited
liability company. That person must print or type their name, state the capacity under
which they sign and provide a signature. The execution constitutes a legal statement
under the penalties of false statement that the information provided in the document
is true.
Rev. 08/23/2007

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