Form Llc-1050 - Certificate Of Cancellation Of A Domestic Limited Liability Company printable pdf download

Form Llc-1050 - Certificate Of Cancellation Of A Domestic Limited Liability Company

COMMONWEALTH OF VIRGINIA

STATE CORPORATION COMMISSION

LLC-1050

CERTIFICATE OF CANCELLATION

(09/04)

OF A DOMESTIC LIMITED LIABILITY COMPANY

Pursuant to § 13.1-1050 of the Code of Virginia, the undersigned submits this certificate of

cancellation and states as follows:

1. The name of the limited liability company is

_______________________________________________________________________.

2. The date of filing of the articles of organization is ________________________________

and the date of filing of each amendment is ____________________________________.

3. Reason(s) for filing the certificate of cancellation:

_______________________________________________________________________

_______________________________________________________________________.

4. The effective date of cancellation is: [ ] the date of filing.

[ ] ____________________.

(NOTE: A specified effective date must be a date certain on or after the date the certificate of

cancellation is filed. If no effective date is specified, the effective date shall be the

date the certificate of cancellation is filed. See § 13.1-1050 of the Code of Virginia.)

5. Additional information (as necessary):

6. CHECK IF APPLICABLE

(see instructions)

The person signing this document on behalf of the limited liability company has been delegated

the right and power to manage the company’s business and affairs.

Executed in the name of the limited liability company by:

__________________________________________

_________________________________

(signature)

(date)

__________________________________________

_________________________________

(printed name)

(title)

__________________________________________

_________________________________

(telephone number (optional))

(limited liability company’s SCC ID no.)

SEE INSTRUCTIONS ON THE REVERSE

Form Llc-1050 - Certificate Of Cancellation Of A Domestic Limited Liability Company