SECTION VI – Withdrawal/Cancellation of Foreign Entities
Withdrawal due to merger in State of Incorporation (Corporations only)
Withdrawal of corporation’s right to do business in Rhode Island through office of Rhode Island
Secretary of State (Corporations only)
Cancellation of entity’s right to do business in Rhode Island through office of Rhode Island
Secretary of State (LLCs and LPs only)
Requirements:
1. All tax returns administered by the tax division that are past due must accompany this request.
2. All the tax, interest and penalty balances must be paid.
3. Final RI Tax Return through date of request for withdrawal.
4. Copy of Federal Tax Return.
5. Any liability reflected on this final return must be paid.
SCHEDULE A
List the name, identification numbers and percent of ownership for all Shareholders or Members of all
Pass-Through Entities (Subchapter S Corporations, LLC’s and Partnerships).
If Shareholder or Member is an individual, then enter the Name(s), Social Security Number(s), their
percent of ownership and indicate if they are a nonresident in the space listed below.
If the Shareholder or Member of the Pass-Through Entity is another Pass-Through Entity, then enter
the name and Federal Identification Number and attach a schedule of their Shareholders or Members.
Percent of
Check if
Social Security or
Name
Federal ID Number
Ownership
Nonresident
Attach additional schedule(s) if more space is needed.
SCHEDULE B
(CAPITAL STOCK TRANSFERS ONLY)
List the name, identification numbers and percent of ownership for all Shareholders or Members of all
Pass-Through Entities after transfer of stock. (See instructions for Schedule A above)
Percent of
Check if
Social Security or
Name
Federal ID Number
Ownership
Nonresident
Attach additional schedule(s) if more space is needed.
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