Limited Liability Company Certificate Of Cancellation - Washington Secretary Of State
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Limited Liability Company
See attached detailed instructions
□
No Fee for Standard Service
□
Expedited Service $20.00
UBI Number:
CERTIFICATE OF CANCELLATION
Chapter 25.15 RCW
SECTION 1
:
NAME OF LIMITED LIABILITY COMPANY
(as currently recorded with the Office of the Secretary of State)
SECTION 2
TYPE OF LIMITED LIABILITY COMPANY:
(please check one of the following)
□
Domestic
(Formed in Washington State)
□
Foreign
(Formed in any other State or Jurisdiction)
SECTION 3
ORIGINAL DATE OF CERTIFICATE OF FORMATION/REGISTRATION:
SECTION 4
EFFECTIVE DATE OF CANCELLATION:
(please check one of the following)
□
Upon filing by the Secretary of State
□
Specific Date: __________________
(Specified effective date must be within 90 days AFTER the
Cancellation has been filed by the Office of the Secretary of State)
SECTION 5
ADDRESS WHERE SERVICE OF PROCESS MAY BE FORWARDED FOR FOREIGN LLC’S:
Address: _______________________________City___________________State
_Zip Code_______
LLC - Cancellation
Washington Secretary of State
Revised 02/09
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