Form Dscb:15-8833 - Certificate Of Denial
Download a blank fillable Form Dscb:15-8833 - Certificate Of Denial in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Dscb:15-8833 - Certificate Of Denial with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2PENNSYLVANIA 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 of 15 Pa.C.S. § 8833 (relating to certificate of
denial of limited liability company authority), the undersigned person desiring to effect a certificate of denial of limited
liability company authority hereby states that:
1. The name of the limited liability company is:
__________________________________________________________
2. The current registered office address 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 date the Certificate of Authority to which this denial pertains was filed:
______________________________
Date (MM/DD/YYYY)
4. I deny the grant of authority in the Certificate of Authority listed above.
IN TESTIMONY WHEREOF, the undersigned has caused this Certificate of Denial of Limited Liability Company
Authority to be signed thereof this _______ day of ___________________, 20_______.
______________________________________________________________
Name of Limited Liability Company
______________________________________________________________
Signature
______________________________________________________________
Title
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal