Illinois > Secretary Of State > Limited Liability Company
Application For Withdrawal Domestic LLC-5.40 - Illinois
| Application For Withdrawal Domestic Form. This is a Illinois form and can be used in Limited Liability Company Secretary Of State . |
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Form LLC-5.40 May 2012 Illinois Limited Liability Company Act Application for Withdrawal Domestic SUBMITINDUPLICATE Type or Print Clearly. This space for use by Secretary of State. FILE # This space for use by Secretary of State. Secretary of State Department of Business Services Limited Liability Division 501 S. Second St., Rm. 351 Springfield, IL 62756 217-524-8008 www.cyberdriveillinois.com Payment may be made by check payable to Secretary of State. If check is returned for any reason this filing will be void. Filing Fee: $100 Approved: 1. Limited Liability Company Name:____________________________________________________________________ ______________________________________________________________________________________________ 2. The company has submitted prospective Articles of Organization filed on _______________________________________ Date with a pending effective date of ______________________________. In accordance with Section 5-40(b) of the Illinois Limited Liability Company Act, the Organizer hereby withdraws the Articles of Organization to prevent the filing from becoming effective. 3. The undersigned affirms, under penalties of perjury, having authority to sign hereto, that this application for withdrawal is to the best of my knowledge and belief, true, correct and complete. Dated: ___________________________, ______________ Month/Day Year ________________________________________________ Signature of Organizer ________________________________________________ Name (type or print) ________________________________________________ If organizer is a Company or other Entity, state Name of Company and Title of Signer. Printed by authority of the State of Illinois. May 2012 -- 1 -- LLC 12.5 American LegalNet, Inc. www.FormsWorkFlow.com
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