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Cancellation Of Registration (Foreign LLC) - Connecticut

Cancellation Of Registration (Foreign LLC) Form. This is a Connecticut form and can be used in Limited Liability Company Secretary Of State .
 Fillable pdf Last Modified 7/13/2015
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SECRETARY OF THE STATE OF CONNECTICUT MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470 DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106 PHONE: 860-509-6003 WEBSITE: www.concord-sots.ct.gov CANCELLATION OF REGISTRATION FOREIGN LIMITED LIABILITY COMPANY USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY. FILING PARTY (CONFIRMATION WILL BE SENT TO THIS ADDRESS): NAME: ADDRESS: FOR OFFICIAL USE ONLY: CITY: STATE: ZIP: 1. NAME OF LIMITED LIABILITY COMPANY IN STATE OR COUNTRY OF FORMATION: 2. THE NAME UNDER WHICH THE LIMITED LIABILITY COMPANY TRANSACTS BUSINESS IN CONNECTICUT, IF DIFFERENT FROM THE NAME STATED ABOVE: 3. STATE/COUNTRY OF FORMATION: THE UNDERSIGNED ASSERTS THAT THE ABOVE NAMED LIMITED LIABILITY COMPANY IS NOT TRANSACTING BUSINESS IN CONNECTICUT AND SURRENDERS ITS CERTIFICATE OF REGISTRATION TO DO SO. IT FURTHER REVOKES THE AUTHORITY OF ITS STATUTORY AGENT FOR SERVICE OF PROCESS AND CONSENTS THAT PROCESS IN ANY ACTION, SUIT OR PROCEEDING BASED UPON ANY CAUSE OF ACTION ARISING IN CONNECTICUT DURING THE TIME THE LIMITED LIABILITY COMPANY WAS AUTHORIZED TO TRANSACT BUSINESS IN THIS STATE MAY BE SERVED UPON THE SECRETARY OF THE STATE. 4. ADDRESS TO MAIL PROCESS SERVED UPON THE SECRETARY OF THE STATE PURSUANT TO THE APPOINTMENT MADE ABOVE: ADDRESS: CITY: STATE: ZIP: 5. EXECUTION: DATED THIS NAME OF SIGNATORY DAY OF CAPACITY/TITLE OF SIGNATORY , 20 SIGNATURE PAGE 1 OF 1 FORM LCFC-1-1.0 Rev. 7/2015 American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR A CANCELLATION OF REGISTRATION FORM Foreign Limited Liability Company A foreign limited liability company authorized to transact business in Connecticut may cancel its certificate of registration by filing an application for certificate of cancellation. INSTRUCTIONS 1. NAME OF LIMITED LIABILITY COMPANY IN STATE OR COUNTRY OF FORMATION: Please provide the name of the limited liability company. 2. THE NAME UNDER WHICH LIMITED LIABILITY COMPANY TRANSACTS BUSINESS IN CONNECTICUT: Provide the name under which the limited liability company transacts business in Connecticut as it currently appears on the records of the Secretary of the State if other than the name stated in item number 1. 3. STATE/COUNTRY OF FORMATION: Please provide the limited liability company's state or country of formation. 4. MAILING ADDRESS FOR PROCESS SERVED UPON THE SECRETARY OF THE STATE: The limited liability company is required by law to appoint the Secretary of the State of Connecticut as its agent to receive legal process in any action suit or proceeding which is based upon a cause of action arising in Connecticut during the time it was authorized to transact business, see Conn. Gen. Stat. Sec. 34-231. Therefore, please provide an address to which the Secretary of the State must mail a copy of any process receive pursuant to this appointment. The address must include, at minimum, a street, city, state (or country if outside of the United States) and a postal code. 5. EXECUTION: The document must be executed by an authorized official of the limited liability company. That person must print or type their name, state the capacity under which they sign and provide a signature. The execution constitutes a legal statement under the penalties of false statement that the information provided in the document is true. OFFICE OF THE SECRETARY OF THE STATE MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470 DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106 PHONE: 860-509-6003 WEBSITE: www.concord-sots.ct.gov INSTRUCTIONS DO NOT SCAN THIS PAGE FORM LCFC-1-1.0 Rev. 7/2015 American LegalNet, Inc. www.FormsWorkFlow.com
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