COMMONWEALTH OF VIRGINIA
FILING
STATE CORPORATION COMMISSION
FEE:
Print Form
ARTICLES OF CANCELLATION
$25.00
LLC-1050
OF A VIRGINIA LIMITED LIABILITY COMPANY
(05/16)
The undersigned, on behalf of the limited liability company named below, pursuant to § 13.1-1050
of the Code of Virginia, states as follows:
1. The name of the limited liability company is
___________________________________________________________________________.
2. The identification number issued by the Commission to the company is __________________.
3. The limited liability company’s certificate of organization issued by the Commission was
effective on _____________________________________.
4. The limited liability company has completed the winding up of its affairs. (See Instructions.)
5. Other information the members determine to include herein (optional): ___________________
___________________________________________________________________________.
Signed in the name of the limited liability company by:
(signature)
(date)
(printed name)
(telephone number (optional))
(title (e.g., manager or member))
(Note: An owner of a limited liability company is referred to as a “member.”)
CHECK IF APPLICABLE (See Instructions):
The person signing this document on behalf of the limited liability company has been
delegated the right and power to manage the company’s business and affairs.
• These articles may be signed by a person who is an officer of the limited liability company (e.g., the president) if,
and only if, the person has been delegated the right and power to manage the business and affairs of the limited
liability company (which requires checking the box).
• The following titles are not acceptable: Owner, Registered Agent, Attorney, Authorized Person, and Officer.
Personal Information, such as a social security number, should NOT be included in a business entity document submitted to the Office of the
Clerk for filing with the Commission. For more information, see Notice Regarding Personal Identifiable Information at
REVIEW THE INSTRUCTIONS BEFORE SUBMITTING THIS FORM.
Correspondence regarding the filing of this document will be sent to the address on a cover letter, if any.
Otherwise, it will be sent to the address of the registered agent unless a name and address is set forth below.
(name)
(mailing address)