Verified Claim Form - Wyoming Secretary Of State
Download a blank fillable Verified Claim Form - Wyoming Secretary Of State 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 Verified Claim Form - Wyoming Secretary Of State 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
1Wyoming Secretary of State
State Capitol Building, Room 110
th
200 West 24
Street
For Office Use Only
Cheyenne, WY 82002-0020
Ph. 307.777.7311
Fax 307.777.5339
Email: business@state.wy.us
Verified Claim Form
Date:
To:
Wyoming Secretary of State’s Office
200 W 24th St Ste 110
Cheyenne, WY 82002
Name & Address of Entity:
The above entity is requesting a refund in the amount of:
$
for the ____________ Annual Report.
(dollar amount)
(year)
The reason for requesting the refund is as follows:
Signature: _________________________________
Title: _____________________________________
State of ________________________
County of __________________________
The foregoing instrument was acknowledged before me by __________________________________, this
_______ day of _________________ , 20___.
Witness my hand and official seal.
____________________________
SEAL
Notary Public
VerifiedClaimForm - Revised 09/24/2009
ADVERTISEMENT
0 votes
Related Articles
Related forms
Application For Certificate Of Registration Of Limited Partnership Form - Wyoming Secretary Of State - 2003
Legal
Withdrawal Of Registration Of Foreign Registered Limited Liability Partnership Form - Wyoming Secretary Of State
Legal
Limited Liability Company Application For Certificate Of Registration And Articles Of Continuance Form - Wyoming Secretary Of State
Legal
Related Categories
Parent category: Legal