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Certificate Of Termination Of Filing Pursuant To NRS 78.209 - Nevada

Certificate Of Termination Of Filing Pursuant To NRS 78.209 Form. This is a Nevada form and can be used in Corporation Secretary Of State .
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DEAN HELLER Secretary of State 204 North Carson Street, Suite 1 Carso n City, Nevada 89701-4299 (775) 684 5708 Webs ite: secretaryofstate.b iz Termination of Filing Pursuant to NRS 78.209 Important: Read attached instru ctions before completing form. ABOVE SPACE IS FOR OFFICE USE ONLY Certificate of Termination of Filing Pursuant to NRS 78.209 1. Na me of corpora tion: ________________________________________________________________________ ______ ______________________________________________________________________________ 2. Description of the certificate to be terminated: ______________________________________ ________________________________________________________________________ ______ 3. Filing date of the original certificate with the Nevada S ecretary of S tate: / / . 4. Effective date , as s pecified, on the certificate: / / . 5. Upon the filing of this certificate with the Nevada Secretary of State the effectiveness of the certificate has been terminated. 6. Officer Signature: _____________________________________ Signature FILING FEE $175.00 IMPORTANT: Failure to include any of the above information and submit the proper f ees may cause this filing to be rejected. SUBM IT IN DUPLICATE This form must be accompanied by appropriate fees. See attached fee schedule. Nevada Secretary of State AM 78.209 Termination 2003 Revised on: 10/24/03
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