Michigan > Secretary Of State > Corporation Division > Corporations
Application For Certificate Of Withdrawal For Use By Foreign Corps 561 - Michigan
| Application For Certificate Of Withdrawal For Use By Foreign Corps Form. This is a Michigan form and can be used in Corporations Corporation Division Secretary Of State . |
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BCS/CD-561 (Rev. 04/11) MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF COMMERCIAL SERVICES Date Received (FOR BUREAU USE ONLY) This document is effective on the date filed, unless a subsequent effective date within 90 days after received date is stated in the document. Name Address City State Zip Code Document will be returned to the name and address you enter above. If left blank document will be mailed to the registered office. EFFECTIVE DATE: APPLICATION FOR CERTIFICATE OF WITHDRAWAL For use by Foreign Corporations (Please read information and instructions on the last page) Pursuant to the provisions of Act 284, Public Acts of 1972 (profit corporations), or Act 162, Public Acts of 1982 (nonprofit corporations), the undersigned corporation executes the following Application: 1. The name of the corporation is: 2. The identification number assigned by the Bureau is: 3. It is incorporated under the laws of 4. The corporation is not transacting business or conducting affairs in Michigan. 5. The corporation hereby surrenders its authority to transact business or conduct affairs in Michigan. Signed this By day of , (Signature of authorized officer or agent) (Type or Print Name) American LegalNet, Inc. www.FormsWorkFlow.com BCS/CD-561 (Rev. 04/11) Preparer's Name Business telephone number ( ) INFORMATION AND INSTRUCTIONS 1. This form maybe used to draft your Certificate of Withdrawal. A document required or permitted to be filed under the act cannot be filed unless it contains the minimum informtion required by the act. The format provided contains only the minimal information required to make the document fileable and may not meet your needs. This is a legal document and agency staff cannot provide legal advice. 2. Submit one original of this document. Upon filing, the document will be added to the records of the Bureau of Commercial Services. The original will be returned to your registered office address, unless you enter a different address in the box on the front of this document. Since this document will be maintained on electronic format, it is important that the filing be legible. Documents with poor black and white contrast, or otherwise illegible, will be rejected. 3. This application is to be used pursuant to section 1031 of Act 284, P.A. of 1972 or Act 162, P.A. of 1962, for the purpose of withdrawing a corporation's Certificate of Authority to Transact Business or Conduct Affairs in Michigan. Upon filing of this Application a corporation surrenders its authority to conduct affairs in this state. 4. Within 60 days after submitting this certificate, all corporations must request a tax clearance from the Michigan Department of Treasury, Tax Clearance Section, Lansing, Michigan 48909, (517) 636-5260. 5. All nonprofit corporations, except churches, must obtain a consent to dissolution or written statement that the consent is not required from the Michigan Attorney General, Consumer Protection and Charitable Trusts Division, P.O. Box 30214, Lansing, MI 48909, (517) 373-1152. Application for the consent should be made at least 45 days before the desired effective date of withdrawal. This certificate cannot be filed unless it is accompanied by the written consent or written statement. 6. Item 2 - Enter the identification number assigned by the Bureau. If this number is unknown, leave it blank. 7. Complete the attached worksheet to determine if there are any unpaid fees payable. 8. The application must be signed by an authorized officer or agent of the corporation. 9. NONREFUNDABLE FEE: Make remittance payable to the State of Michigan. Include corporation name and identification number on check or money order................................................................................................................................................................$10.00 To submit by mail: Michigan Department of Licensing and Regulatory Affairs Bureau of Commercial Services Corporation Division P.O. Box 30054 Lansing, MI 48909 To submit in person: 2501 Woodlake Circle Okemos, MI Telephone: (517) 241-6470 Fees may be paid by VISA or Mastercard when delivered in person to our office MICH-ELF (Michigan Electronic Filing System) First Time Users: Call (517) 241-6470, or visit our website at http://www.michigan.gov/corporations Customer with MICH-ELF Filer Account: Send documents to (517) 636-6437 LARA is an equal opportunity employer/prgram. Auxiliary aids, services and other reasonable accommodations are available upon requet to individuals with disabilities. American LegalNet, Inc. www.FormsWorkFlow.com IDENTIFICATION NUMBER FOREIGN CORPORATION WORKSHEET Changes in Shares Attributable Occurring January 1, 2006 or later Section A 1. Total Authorized Shares 2. Multiply by the Michigan Single Business Tax or Michigan Business Tax Apportionment Percentage 3. Equals total shares attributable to Michigan 4. Subtract previous attributable shares 5. Equals increase in attributable shares X for year ending = = % / / If Line 5 is '0', there is no additional fee due for this worksheet. If Line 5 is greater than '0' but less than 10,000,001, refer to the fee schedule below in Section B. If Line 5 is 10,000,001 or greater, proceed to Section C. Section B Increase of 60,000 or fewer authorized shares attributable to Michigan Increase of 60,001 - 1,000,000 authorized shares attributable to Michigan Increase of 1,000,001 - 5,000,000 authorized shares attributable to Michigan Increase of 5,000,001 - 10,000,000 authorized shares attributable to Michigan $50.00 $100.00 $300.00 $500.00 Section C 1. Total increase in shares attributable to Michigan from Section A, line 5. 2. Subtract 10,000,000 3. Equals increase in attributable shares in excess of 10,000,000 4. Divide by 10,000,000 (round any fraction to the next highest whole number) 5. Multiply by $1,000.00 6. Fee for increase in excess of 10,000,000 shares attributable 7. Fee for increase of initial 10,000,000 shares attributable 8. Total fee for increase in shares attributable to Michigan X = + = $500.00 $1,000.00 = 10,000,000 American LegalNet, Inc. www.FormsWorkFlow.com WORKSHEET INSTRUCTIONS Section A Line 1. Enter the total number of shares authorized in the Articles of Incorporation. Line 2. Enter apportionment percentage from form C-8000H filed with your Single Business Tax return or from your Michigan Business Tax return. If your company is not required to file Single Business or Michigan Business tax returns, enter
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