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Robin Carnahan, Secretary of State
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Corporations Division
P.O. Box 778 / 600 W. Main Street, Rm 322
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Jefferson City, MO 65102
Articles of Cancellation of a
Foreign Limited Liability Company
(Submit with filing fee of $25)
1.
The name of the limited liability company is:
_________________________________________________________________________________________________________
and was organized under the laws of: __________________________________________________________________________
(Jurisdiction)
2.
The mailing address to which the Secretary of State may mail a copy of any Service of Process is:
_________________________________________________________________________________________________________
Street address
City/State/Zip
Any change of mailing address must be reported to the Secretary of State.
3.
The limited liability company is not transacting business and surrenders its authority to transact business in the State of Missouri.
4.
The limited liability company revokes the authority of its registered agent in Missouri to accept service of process and consents
that the service of process in any suit, action, or proceeding based upon any cause of action arising in Missouri during the time
the corporation was licensed to transact business in Missouri may thereafter be made on the limited liability company by service
on the Secretary of State of Missouri.
In Affirmation thereof, the facts stated above are true and correct:
(The undersigned understands that false statements made in this filing are subject to the penalties provided under Section 575.040, RSMo)
________________________________________________________________________________________________________________
Authorized Signature
Printed Name
Date
________________________________________________________________________________________________________________
Authorized Signature
Printed Name
Date
________________________________________________________________________________________________________________
Authorized Signature
Printed Name
Date
Name and address to return filed document:
Name: __________________________________________
Address: _________________________________________
City, State, and Zip Code: __________________________
LLC- 8 (01/05)