Certificate Of Cancellation For A Nevada Business Trust Form (Pursuant To Nrs 88a.420)

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*132002*
*132002*
ROSS MILLER
Secretary of State
204 North Carson Street, Suite 1
Carson City, Nevada 89701-4520
(775) 684-5708
Website:
Cancellation of
Business Trust
(PURSUANT TO NRS 88A.420)
USE BLACK INK ONLY - DO NOT HIGHLIGHT
ABOVE SPACE IS FOR OFFICE USE ONLY
Certificate of Cancellation
For a Nevada Business Trust
(Pursuant to NRS 88A.420)
1. Name of business trust:
2. Effective date and time of filing: (optional)
Date:
Time:
(must not be later than 90 days after the certificate is filed)
3. Any other information the trustee filing the certificate determines:
4. Signature: (must be signed by a trustee)
X
Signature
FILING FEE: $100.00
IMPORTANT:
Failure to include any of the above information and submit with the proper fees may cause this filing to be rejected.
This form must be accompanied by appropriate fees.
Nevada Secretary of State 88A.420 DBT Cancellation
Revised: 8-31-11
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