Form Limited Liability Company Application For Certificate Of Transfer Page 2
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26. Any other terms and conditions of the transfer.
7. A copy of the resolution authorizing the transfer from the state of Wyoming to the new jurisdiction is attached.
Signature: ___________________________________________
Date:
(May be executed by a member, manager, or other authorized individual as
(mm/dd/yyyy)
set forth in the operating agreement.)
Print Name:
Title:
Contact Person:
Daytime Phone Number:
Email:
Checklist
Filing Fee: $50.00 Make check or money order payable to Wyoming Secretary of State.
Please submit one originally signed document and one exact photocopy of the filing.
Please review form prior to submitting to the Secretary of State to ensure all areas have been completed to
avoid a delay in the processing of your documents.
LLC-CertificateTransfer – 11/2012
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