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Certificate Of Reinstatement (LLC) - Connecticut

Certificate Of Reinstatement (LLC) Form. This is a Connecticut form and can be used in Limited Liability Company Secretary Of State .
 Fillable pdf Last Modified 9/14/2007
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CERTIFICATE OF REINSTATEMENT LIMITED LIABILITY COMPANY Office of the Secretary of the State 30 Trinity Street / P.O. Box 150470 / Hartford, CT 06115-0470 / Rev. 05/ 07/2004 Space For Office Use On ly Filing Fee: $60.00 Please contact the Department of Revenue Services or your tax advisor as to any potential tax liability relating to your business. 1. NAME OF LIMITED LIABILITY COMPANY 2. APPOINTMENT OF REGISTERED AGENT (Please select only one A or B) A. Individuals Name Business address (P.O. Box is unacceptable) Residence address (P.O. Box is unacceptable) B. Business Entity Address (P.O. Box is unacceptable) Acceptance of appointment _____________________________________________________________ Signature of agent 3. EXECUTION Dated this _________________day of ____________________, 20______. Print or type name of signatory Capacity of signatory Signature <<<<<<<<<********>>>>>>>>>>>>> 2 INSTRUCTIONS FOR COMPLETION OF THE CERTIFICATE OF REINSTATEMENT CONNECTICUT LIMITED LIABILITY COMPANY 1. NAME OF LIMITED LIABILITY COMPANY: Please provide the complete name of the limited liability company, as it appeared on the records of the Secretary of the State. If the name is no longer available, please complete and file Articles of Amendment, along with the Certificate of Reinstatement, changing the name of the limited liability company to an available name. 2. APPOINTMENT OF REGISTERED AGENT: The limited liability company must appoint a registered agent. It may not appoint itself as its registered agent. The registered agent may be a natural person who is a resident of Connecticut, a Connecticut corporation or limited liability company, a foreign corporation or limited liability company, which has a certificate of authority to transact business in Connecticut. Please note the following: if the agent being appointed is a natural pe rson, that persons business address must be provided under the heading Business address and their residence address under the heading Residence address; if the agent appointed is a corporation, it must provide its principal office address under the Address heading; the agent must sign accepting the appointment in the space provided; the signatory must state the capacity under which they sign if signing on behalf of a business entity; and all addresses must include a street number, street name, city, state and postal code. Complete street addresses required. P.O. Boxes are only acceptable as additional address information. 3. 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. GENERAL INFORMATION : The Certificate of Reinstatement must be filed with a current annual report. Please contact the Department of Revenue Services or your tax advisor as to any potential tax liability relating to your business.
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