Maine > Secretary Of State > Limited Liability Company > Domestic Or Foreign
Certificate Of Cancellation MLLC-11C - Maine
| Certificate Of Cancellation Form. This is a Maine form and can be used in Domestic Or Foreign Limited Liability Company Secretary Of State . |
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Filing Fee $75.00 LIMITED LIABILITY COMPANY STATE OF MAINE CERTIFICATE OF CANCELLATION (for a Maine LLC) _____________________ Deputy Secretary of State A True Copy When Attested By Signature ______________________________________ (Name of Limited Liability Company) _____________________ Deputy Secretary of State Pursuant to 31 MRSA §1533.2, the undersigned hereby executes and delivers the following certificate of cancellation: FIRST: SECOND: THIRD: The date the limited liability company's original certificate of formation was filed: ____________________________ The limited liability company is dissolved and the date of dissolution (if known) is: _____________________________ The effective date of the cancellation shall be (Please check one): the date of filing of this certificate or the future effective date as follows: ___________________________________________ (Notice: upon filing this Certificate, the limited liability company shall be removed from the active records of the Secretary of State.) FOURTH: Any other information the person filing the certificate of cancellation determines necessary, if any, is set forth in Exhibit _____ attached and made a part hereof. DATED ____________________________________________ ____________________________________________________ (type or print name and capacity) *Authorized Signature(s) ___________________________________________________ (signature) ___________________________________________________ (signature) ____________________________________________________ (type or print name and capacity) **Pursuant to 31 MRSA §1676.1.B or 31 MRSA §1676.1.C, this document MUST be signed by a person authorized by the limited liability company or if filed on behalf of a dissolved limited liability company that has no members, this document must be signed by the person winding up the limited liability company's activities under 31 MRSA §1597.1 or a person appointed under section 31 MRSA §1598.2. The execution of this certificate constitutes an oath or affirmation under the penalties of false swearing under 17-A MRSA §453. Please remit your payment made payable to the Maine Secretary of State. Submit completed form to: Secretary of State Division of Corporations, UCC and Commissions 101 State House Station Augusta, ME 04333-0101 Telephone Inquiries: (207) 624-7752 Email Inquiries: CEC.Corporations@Maine.gov American LegalNet, Inc. www.FormsWorkFlow.com Form No. MLLC-11C 7/1/2011 Filer Contact Cover Letter To: Department of the Secretary of State Division of Corporations, UCC and Commissions 101 State House Station Augusta, ME 04333-0101 Tel. (207) 624-7752 Name of Entity (s): _______________________________________________________________________ _______________________________________________________________________ List type of filing(s) enclosed (i.e. Articles of Incorporation, Articles of Merger, Articles of Amendment, Certificate of Correction, etc.) Attach additional pages as needed. ________________________________________________________________________ ________________________________________________________________________ Special handling request(s): (check all that apply) Hold for pick up Expedited filing - 24 hour service ($50 additional filing fee per entity, per service) Expedited filing - Immediate service ($100 additional filing fee per entity, per service) Total filing fee(s) enclosed: $ ________________ Contact Information questions regarding the above filing(s), please call or email: (failure to provide a contact name and telephone number or email address will result in the return of the erroneous filing (s) by the Secretary of State's office) ___________________________________ (Name of contact person) ___________________________________ (Daytime telephone number) ____________________________________________________ (Email address) The enclosed filing(s) and fee(s) are submitted for filing. Please return the attested copy to the following address: ______________________________________________________________________________ (Name of attested recipient) _____________________________________________________________________________________________ (Firm or Company) _____________________________________________________________________________________________ (Mailing Address) _____________________________________________________________________________________________ (City, State & Zip) American LegalNet, Inc. www.FormsWorkFlow.com
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