Application For Certificate Of Withdrawal

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FILE DUPLICATE ORIGINALS
TYPE OR PRINT LEGIBLY
FILING FEE:
$50.00
APPLICATION FOR
CERTIFICATE OF WITHDRAWAL
OF
___________________________________________________________________________
(Name and MMSCC Certificate of Authority Number)
The undersigned corporation applies for a Certificate of Withdrawal under the
New Mexico Business Corporation Act, and for that purpose submits the following
statement to the State Corporation Commission:
1.
Its corporate name is
and it is incorporated under the laws of ____________________________.
2. It is not transacting business in New Mexico.
3.
It surrenders its authority to transact business in New Mexico.
4.
It revokes the authority of its registered agent in New Mexico to accept
service of process, and consents that service of process in any action, suit or
proceeding based upon any cause of action arising in New Mexico may thereafter
be made on it by service thereof on the Secretary of State of New Mexico.
5.
The mailing address to which the Secretary of State New Mexico may mail a
copy of any process against the corporation that may be served on the Secretary
of State New Mexico is:
6.
The aggregate number of shares which it has authority to issue, itemized by
classes, par value of shares,
shares without par value, and series, if any,
within a class, is:
(attached additional schedule if needed)
Number of
Par Value or Statement That Shares
Shares
Class
Series
are Without Par Value

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