Application Form For Revival - $100 Fee Page 2

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8. Describe fully the activities, if any, of the corporation since dissolution:
9. Does the applicant seek a limited or general revival? If limited, state fully the reason(s) therefore, and period of time (not to exceed one
year) sought for the revival:
SIGNED UNDER THE PENALTIES OF PERJURY, this __________ day of________________________________ , 20 ___________,
_________________________________________________________________________________________, Signature of Applicant.

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