Form Dscb:15-8878 - Voluntary Termination [never Transacted Business] Domestic Limited Liability Company

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PENNSYLVANIA DEPARTMENT OF STATE
BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS
Return document by mail to:
Name
Address
City
State
Zip Code
Return document by email to:
_________________________________
Read all instructions prior to completing.
Fee: $70
In compliance with the requirements of the applicable provisions 15 Pa.C.S. § 8878 (relating to voluntary
termination by members or organizers for a limited liability company that has never transacted business), the undersigned,
desiring that the company should be terminated, hereby states that:
1. The name of the company is: ________________________________________________________ _____________
2. The current registered office address of the company as on file with the Department of State.
Complete part (a) OR (b) – not both:
(a) _____________________________________________________________________________________________________
Number and street
City
State
Zip
County
(b) c/o: __________________________________________________________________________________________________
Name of Commercial Registered Office Provider
County
3. The company has never transacted business or held assets other than money received as capital contributions.
4. The amounts, if any, actually paid in as capital contributions, less any part disbursed for necessary expenses,
have been returned to those entitled to the return of the amounts.
5. A majority of the organizers or a majority in interest of the members elect that the company be terminated.
6. Check one of the following:
All liabilities of the company have been discharged.
Adequate provision has been made for the payment of the liabilities of the company.
IN TESTIMONY WHEREOF, at least a majority of the organizers or a majority in interest of the members of the above-
named company has hereunto set their hands this
day of
,
.
Signature
Signature
Signature

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