Profit Corporation Application For Certificate Of Transfer - Wyoming Secretary Of State Page 2

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6. Certifications.
The following certifications must be completed in order for the Certificate of Transfer to be valid. The signatory
executing the document must initial next to each line.
The corporation shall surrender its certificate of incorporation under this act upon the effectiveness of the
transfer.
The transfer was duly approved by the directors and the shareholders - see W.S. 17-16-1720(g).
I hereby certify that I have attached a copy of the corporate resolution authorizing the transfer of the profit
corporation from the state of Wyoming to the new jurisdiction.
7. Any other terms and conditions of the transfer.
Signature: ___________________________________________
Date:
(Shall be executed by Chairman of the Board, President or another its officers.)
(mm/dd/yyyy)
Print Name:
Contact Person:
Title:
Daytime Phone Number:
Email:
(Email provided will receive filing evidence)
*May list multiple email addresses
Checklist
Filing Fee: $50.00 Make check or money order payable to Wyoming Secretary of State.
Please submit one originally signed document.
A copy of the company’s resolution authorizing the transfer to the new jurisdiction is required.
Please note that not all jurisdictions accept Certificate of Transfer documents. Contact the appropriate authority
in the new jurisdiction before proceeding with the transfer.
Typical processing time is 3-5 business days following the date of receipt in our office.
Please review form prior to submitting to the Secretary of State to ensure all areas have been completed to avoid a
delay in the processing of your documents.
P-CertificateTransfer – Revised October 2015

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