Form Llc-4/7 - Limited Liability Company Certificate Of Cancellation - California Secretary Of State

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State of California
Kevin Shelley
Secretary of State
LIMITED LIABILITY COMPANY
CERTIFICATE OF CANCELLATION
NOTE: This Certificate of Cancellation (LLC-4/7) must be filed in order to
cancel your Articles of Organization or Application for Registration
and your liability for any tax as a limited liability company. A tax
clearance certificate or the Request for Tax Clearance Certificate
(FTB Form 3555L) must be submitted with this Certificate of
Cancellation (LLC-4/7) form.
There is no fee for filing a Certificate of Cancellation.
IMPORTANT – Read instructions before completing this form.
This Space For Filing Use Only
1.
Secretary of State File Number
2.
Name of Limited Liability Company
3.
It is hereby certified that this limited liability company cancels its (check one):
[ ]
Articles of Organization pursuant to Subdivision (b) of Section 17356 of the California Corporations Code.
[ ]
Registration pursuant to Section 17455 of the California Corporations Code.
4.
The tax liability will be satisfied on a taxes paid basis or a person, limited liability company, or other business entity
assumes the tax liability, if any, of the dissolving limited liability company as security for the issuance of a tax
clearance certificate from the Franchise Tax Board and is responsible for additional taxes or fees, if any, that are
assessed under the Revenue and Taxation Code and become due after the date of the assumption of tax liability.
(DO NOT ALTER THIS STATEMENT)
5.
DOMESTIC ONLY
The separate filing of the Certificate of Dissolution (LLC-3) pursuant to Section 17356 is not required, because
dissolution pursuant to Section 17350 is made by a vote of all of the members.
[ ]
YES
[ ]
NO
6.
Other information the managers or members filing the Certificate of Cancellation of Articles of Organization or
Application for Registration determine to include. (Attach additional pages, if necessary.)
7.
It is hereby declared that I am the person who executed this instrument, which execution is my act and deed.
Signature of Authorized Person
Type or Print Name and Title of Authorized Person
Date
8.
RETURN TO:
NAME
FIRM
ADDRESS
CITY/STATE
ZIP CODE
SEC/STATE FORM LLC-4/7 (Rev. 12/2003) – NO FILING FEE
APPROVED BY SECRETARY OF STATE
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