FILING INSTRUCTIONS
CERTIFICATE OF WITHDRAWAL OF A FOREIGN BUSINESS ENTITY
NAME
Use the exact name of the business entity as registered on file with the Office of the Secretary of State.
DOCUMENT DELIVERY
A file stamped postcard will be sent to the principal office address. If the applicant wishes for the document to be sent to an alternate
address other than the principal office, a request must be submitted in writing affirming that request. Alternate address requests must
be submitted with each document filed with the Office of the Secretary of State.
WHO MAY SIGN
The document must be signed by an officer, chairman of the board, member, manager, partner or trustee.
NUMBER OF COPIES
If filing via mail or in person, one exact or conformed copy of the documents with the filing fee must be submitted to the add ress below.
To make a copy of the filing for delivery to the local county clerk’s office, visit and print a copy from the organization
search tool.
DELAYED EFFECTIVE DATE AND TIME
The document will be effective on the date and time of filing, unless a delayed effective date and/or time is specified. The effective date
th
or the delayed effective date cannot be prior to the date the application is filed. A delayed effective date may not be later than the 90
day after the date of filing.
FILING FEE
The filing fee for this document is $40.00. Checks should be made payable to the "Kentucky State Treasurer."
MAILING ADDRESS
OFFICE LOCATION
Alison Lundergan Grimes
Room 154, Capitol Building
Office of the Secretary of State
700 Capital Avenue
P.O. Box 718
Frankfort, KY 40601
Frankfort, KY 40602-0718
Hours of Operation: 8:00 AM-4:30 PM ET
CONTACT INFORMATION
If you have any questions, please feel free to visit our website at or call 502-564-3490.