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Affidavit To Dissolve Corporation (Domestic Corp) 339 - Louisiana

Affidavit To Dissolve Corporation (Domestic Corp) Form. This is a Louisiana form and can be used in Subsequent Filings Corporations Section Commercial Division Secretary Of State .
 Fillable pdf Last Modified 12/11/2013
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TOM SCHEDLER SECRETARY OF STATE STATE OF LOUISIANA SECRETARY OF STATE Commercial Division (225) 925-4704 Fax Numbers (225) 932-5317 Administrative Services (225) 932-5314 Corporations (225) 932-5318 UCC TRANSMITTAL INFORMATION For All Business Filings Business Name (List exactly as it appears in documents) Name of person filing document (evidence of filing will be mailed to this person, at address below) Address City State Zip Code Daytime phone number Fax number Email address NOTE: Louisiana Law requires all Louisiana notaries to print or type their name and notary or bar roll number on the document. Mailing Address: P. O. Box 94125, Baton Rouge, LA * 70804-9125 Office Location: 8585 Archives Ave., Baton Rouge, LA * 70809 Web Site Address: www.sos.la.gov SS984 Rev. 09/11 American LegalNet, Inc. www.FormsWorkFlow.com Tom Schedler Secretary of State AFFIDAVIT TO DISSOLVE CORPORATION (R.S. 12:142.1 & 12:250.1) Domestic Corporation (Business or Non-Profit) Enclose $75.00 filing fee Make remittance payable to Secretary of State Do Not Send Cash Return to: Commercial Division P. O. Box 94125 Baton Rouge, LA 70804-9125 Phone (225) 925-4704 Web Site: www.sos.la.gov STATE OF PARISH/COUNTY OF BEFORE ME, the undersigned Notary Public in and for the parish/county herein above shown, personally came and appeared the undersigned who, after being duly sworn, did depose and say that: Corporation Name is no longer doing business, owes no debts and owns no immovable property is dissolved by filing this affidavit with the Secretary of State, executed by the shareholder(s), or incorporator(s) if no shares have been issued, attesting to such facts. The undersigned further declared that they are: (check one) () () The shareholders of the above named corporation. The incorporators of the above named corporation and no shares have been issued. Incorporator(s) or Shareholder(s) Signature(s) Sworn to and subscribed before me, the undersigned Notary Public, on this date: NOTARY NAME MUST BE TYPED OR PRINTED WITH NOTARY # Notary Signature SS339 Rev. 08/13 (See instructions on back) American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS 1. 2. File this form, along with the appropriate filing fee with the Secretary of State's office. You will receive a Certificate of Dissolution, a copy of which should be filed with the Clerk of Court where the corporation maintains its registered office. If the corporation's registered office is located in Orleans Parish, a Certificate of Dissolution must be filed with the recorder of mortgages. American LegalNet, Inc. www.FormsWorkFlow.com
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