Application For Surrender Of Authority To Do Business In The State Of South Carolina - South Carolina Secretary Of State
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1STATE OF SOUTH CAROLINA
SECRETARY OF STATE
APPLICATION FOR SURRENDER OF AUTHORITY TO DO BUSINESS IN
THE STATE OF SOUTH CAROLINA
TYPE OR PRINT CLEARLY IN BLACK INK
Pursuant to S.C. Code § 33-15-200 the undersigned corporation hereby applies to the Secretary of State
for surrender of authority to do business in the State of South Carolina, and for that purpose submits the
following statement:
1.
The name of the corporation is ____________________________________________________.
2.
The corporation is incorporated under the laws of the state of ____________________________.
3.
The corporation received a certificate of authorization to transact business in South Carolina
dated ________________________________________________________________________.
4.
The corporation is no longer transacting business in South Carolina.
5.
The corporation hereby surrenders its authority to transact business in the State of South
Carolina.
6.
The corporation revokes the authority of its registered agent in South Carolina to accept service
of process, and consents that process in any action, suit, or proceeding based upon any cause of
action arising in this State before the effective date of this application may be served on the
Secretary of State.
7.
The address to which the Secretary of State may mail a copy of any process against the
corporation that may be served on him is ____________________________________________
_____________________________________________________________________________
*The corporation hereby agrees to notify the Secretary of State of any change in this mailing address*
8.
Unless a delayed date is specified, this application shall be effective upon acceptance for
filing by the Secretary of State (See sections 33-1-230(b)):_______________________________
Date
____________________________
________________________________________________
Name of Corporation
________________________________________________
Signature
________________________________________________
Type or Print Name and Office
FILING INSTRUCTIONS
1.
Two copies of this application, the original and either a duplicate original or a conformed copy, must be filed.
2.
Filing Fee (payable at the time of filing this document) - $10.00
Return to: Secretary of State
1205 Pendleton Street Suite 525
Columbia SC 29201
Form Revised by South Carolina
FRN-APP FOR SURRENDER OF AUTHORITY.doc
Secretary of State, March 2011
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