Form Dscb:15-8586-2 - Certificate Of Cancellation Of Registration-Foreign
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1
2PENNSYLVANIA DEPARTMENT OF STATE
CORPORATION BUREAU
Certificate of Cancellation of Registration-Foreign
(15 Pa.C.S. § 8586)
Entity Number
Limited Partnership
Registered Limited Liability Partnership
Registered Limited Liability Company
Name
Document will be returned to the
name and address you enter to
the left.
Address
⇐
City
State
Zip Code
Fee: $52
Filed in the Department of State on ________________________
Secretary of the Commonwealth
In compliance with the requirements of 15 Pa.C.S. § 8586 (relating to cancellation of registration), the undersigned
association, desiring to withdrawal from doing business in this Commonwealth, hereby states that:
1
The name under which the association was registered (or last registered) to do business in the Commonwealth
.
of Pennsylvania is:
2. The (a) address of its initial registered office in this Commonwealth or (b) name of its commercial registered
office provider and the county of venue is:
(a) Number and street
City
State
Zip
County
(b) Name of Commercial Registered Office Provider
County
c/o:
3. The name of the jurisdiction under the laws of which the association was organized:
4. The date on which the association registered to do business in this Commonwealth:
5. The association herewith withdraws from doing business in this Commonwealth.
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