Withdrawal Of Foreign Registration Statement - Idaho Secretary Of State

211

WITHDRAWAL OF

FOREIGN REGISTRATION

RESET FORM

STATEMENT

Title 30, Chapter 21, Idaho Code

Filing fee: $20 typed, $40 not typed

Complete and submit the application in duplicate.

1. The name of the entity is:

The name which it used in Idaho is:

2. Jurisdicton of formation:

3. The address to which service of process may be made against the entity (after the withdrawal):

(Address)

By filing this withdrawal of foreign registration, the entity named in item 1 agrees to the following:

a. The entity is not transacting business in the State of Idaho, and withdraws its registration to do business in this state.

b. The entity revokes the authority of its registered agent in the State of Idaho to accept service of process on its behalf

in this state.

c. The entity agrees to notify the Idaho Secretary of State of any change to the address in item 3.

Typed Name:

Signature:

Capacity:

Rev. 07/2015

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Parent category: Legal