Form Cf: 0025 - Application For Withdrawal - State Of Arizona printable pdf download

Form Cf: 0025 - Application For Withdrawal - State Of Arizona

APPLICATION FOR WITHDRAWAL

________________________________________________

A _____________________________ Corporation

[state, province or country]

1. The name of the foreign corporation is _________________________________________.

It is incorporated under the laws of _____________________________________.

[state, province or country]

2. The foreign corporation is not transacting business/conducting affairs in this state and does

hereby surrender its authority to do so in this state.

3. The foreign corporation does hereby revoke the authority of its statutory agent to accept

process on its behalf and does hereby appoint the Arizona Corporation Commission as its agent

for service of process in any proceeding based on a cause of action arising during the time it

was authorized to transact business/conduct affairs in this state.

4. Upon receipt of any process served upon it on behalf of the foreign corporation, the Arizona

Corporation Commission is requested to mail a copy to:

________________________________

5. The foreign corporation will notify the Arizona Corporation Commission in the future of

any change in the mailing address of the foreign corporation.

This application will not be complete until the Arizona Corporation Commission has received

from the department of revenue a notice that all transaction privilege taxes have been paid or

are not due and a certificate from the department of revenue that all income tax returns have

been filed and taxes paid.

DATED this ____ day of ____________________, 19___.

______________________________________

[Name of Corporation]

By______________________________________

______________________________________

CF: 0025

[name]

[title]

Rev: 1/99

Form Cf: 0025 - Application For Withdrawal - State Of Arizona