Application For Withdrawal Of Registration Of A Foreign Limited Liability Company - Utah Department Of Commerce
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State of Utah
Department of Commerce
Division of Corporations & Commercial Code
Application for Withdrawal of Registration of a Foreign Limited Liability Company
Entity Number: _________________
__________________________________________________________________________________________________
Limited Liability Company Name
SPECIAL NOTE:
Utah law requires Limited Liability Companies seeking withdrawal to submit a Tax Clearance Certificate
with the Application for Withdrawal. Please inquire with the Utah State Tax Commission at 210 N 1950 W Salt Lake City, Utah
84134. Phone: (801) 297-2200 or Toll Free: (800) 662-4335.
Pursuant to the provisions of the Utah Limited Liability Company Act (U.C.A. 48-2c-1611), the undersigned limited liability
company submits this Application for Withdrawal of Registration of a Foreign Limited Liability Company, and for this
purpose declares:
First:
Filing date of articles of organization _________________________________________________;
Second:
It is organized under the laws of the State of ___________________________________________;
Third:
It is no longer transacting business in Utah;
Fourth:
It hereby surrenders its authority to transact business in Utah;
Fifth:
That the foreign company is not transacting business in this state and that it surrenders its authority
to transact business in this state;
Sixth:
Please answer the questions below:
Will the registered agent continue to be authorized to accept service on behalf of the company in any proceeding
based on a cause of action arising during the time it was authorized to transact business in this state?
Yes
No
What is the address of its principal office, or if there is not one, the address to which the Division may mail
a copy of any process against the limited liability company that may be served is:
____________________________________________________________________________
Address
City
State
Zip
Seventh:
Are you taxed as a corporation?
Yes
No
If taxed as a corporation you will need a tax clearance letter from the Utah Tax Commission.
Taxed as other? ________________________________________
Under penalties of perjury, I declare that this application for withdrawal has been examined by me and is,
to the best of my knowledge and belief, true, correct and complete.
Name & Title: _________________________________________________________________
By: ___________________________________
Authorizing Party sign here after the form is printed
Date: ____________________________________
Limited Liability Company Member or Manager Signature
Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes, you
may use the business entity physical address rather than the residential or private address of any individual affiliated with the entity.
Division's Website:
Mailing/Faxing Information:
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Parent category: Financial