FOR A CANCELLATION
Foreign Limited Liability
A foreign limited liability company authorized to transact business in Connecticut may cancel its
certificate of registration by tiling an application for certificate of cancellation.
Instructions correspond with numbered entries on the form
NAME OF LIMITED LIABILITY
COMPANY IN STATE OR COUNTRY OF
Please provide the name of the limited liability company.
THE NAME UNDER WHICH LIMITED LIABILITY
BUSINESS IN CONNECTICUT:
Provide the name under which the limited liability
company transacts business in Connecticut as it currently appears on the records of the
Secretary of the State if other than the name stated in item number 1.
Please provide the limited liability company’s
state or country of formation.
ADDRESS FOR PROCESS SERVED UPON THE SECRETARY OF THE
STATE: The limited liability company is required by law to appoint the Secretary of the
State of Connecticut as its agent to receive legal process in any action suit or proceeding
which is based upon a cause of action arising in Connecticut during the time it was
authorized to transact business, see Conn. Gen. Stat. Sec. 34-23 1. Therefore, please
provide an address to which the Secretary of the State must mail a copy of any process
receive pursuant to this appointment. The address must include, at minimum, a street,
city, state (or country if outside of the United States) and a postal code.
The document must be executed by an authorized official of the limited
liability company. That person must print or type their name, state the capacity under
which they sign and provide an original signature. The execution constitutes a legal
statement under the penalties of false statement that the information
provided in the
document is true.
MAKE CHECKS PAYABLE
TO THE SECRETARY
OF THE STATE