Foreign Non-Profit Corporation Application For Certificate Of Withdrawal Form printable pdf download

Foreign Non-Profit Corporation Application For Certificate Of Withdrawal Form

DEPARTMENT OF CONSUMER AND REGULATORY AFFAIRS

BUSINESS AND PROFESSIONAL LICENSING ADMINISTRATION

CORPORATIONS DIVISION

941 NORTH CAPITOL STREET, N.E.

WASHINGTON, D.C. 20002

Government

of the

District of Columbia

NOTE:

THIS IS A SPECIMEN FORMAT FOR APPLICATION FOR CERTIFICATE OF

WITHDRAWAL. YOU MUST DRAFT YOUR OWN APPLICATION ON PLAIN

BOND PAPER TO BE SUBMITTED IN DUPLICATE ORIGINAL (TWO MANUAL

SETS).

DO NOT FILL IN THIS FORMAT

FOREIGN NON-PROFIT CORPORATION APPLICATION

FOR CERTIFICATE OF WITHDRAWAL GUIDELINE

APPLICATION FOR CERTIFICATE OF WITHDRAWAL OF

_______________________________________________________

TO:

DEPARTMENT OF CONSUMER AND REGULATORY AFFAIRS

BUSINESS AND PROFESSIONAL LICENSING ADMINISTRATION

CORPORATIONS DIVISION

941 NORTH CAPITOL STREET, N.E.

WASHINGTON, D.C. 20002

Pursuant to the provisions of the District of Columbia Non-profit Corporation Act, the

undersigned corporation applies for a Certificate of Withdrawal from the District of

Columbia, and for that purpose submits the following statement:

FIRST: The name of the corporation is

_____________________________________________

SECOND: It is incorporated under the laws of

________________________________________

THIRD: It is not conducting its affairs in the District of Columbia.

FOURTH: It surrenders its authority to conduct its affairs in the District of Columbia.

FIFTH: It revokes the authority of its registered agent in the District of Columbia to

accept service of process, and consents that service of process in any action, suit, or

proceeding based upon any cause of action arising in the District of Columbia during the

time the corporation was authorized to conduct it affairs in the District of Columbia may

hereafter be made on the corporation by service thereof on the Department of Consumer

and Regulatory Affairs for the District of Columbia.

SIXTH: The post office address of which the Department of Consumer and Regulatory

Affairs, Washington, D.C. may mail a copy of any process against the corporation that

may be served on him is:

________________________________________________________________________

Date: __________

(Corporate Seal)

________________________________________________________________________

Corporate Name

Foreign Non-Profit Corporation Application For Certificate Of Withdrawal Form

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