Form Llc-1050 - Certificate Of Cancellation Of A Domestic Limited Liability Company

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LLC-1050
COMMONWEALTH OF VIRGINIA
(07/00)
STATE CORPORATION COMMISSION
CERTIFICATE OF CANCELLATION
OF A DOMESTIC LIMITED LIABILITY COMPANY
1. The name of the limited liability company is
______________________________________________________________________________.
2. The date of filing of the articles of organization is ___________________________________ and
of each amendment is ___________________________________________________________.
3. Reason(s) for filing the certificate of cancellation:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
4.
The effective date of cancellation is _______________________________.
(NOTE:
The
effective date must be a date certain. Any effective date other than the filing date of the
certificate of cancellation must be a date subsequent to filing.)
5. Additional information (as necessary):
6. Signature of authorized person:
_____________________________________________
_________________________
(date)
_____________________________________________
_________________________
(printed name)
(title)
SEE INSTRUCTIONS ON THE REVERSE

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