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Application For Certificate Of Withdrawal - Wyoming
| Application For Certificate Of Withdrawal Form. This is a Wyoming form and can be used in Foreign Processing Cooperative Corporations Secretary Of State . |
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APPLICATION FOR CERTIFICATE OF WITHDRAWAL COOPERATIVE MARKETING ASSOCIATION Wyoming Secretary of State Phone (307) 777-7311/7312The Capitol Building, Room 110 Fax (307) 777-5339200 W. 24th Street E-mail: corporations@state.wy.usCheyenne, WY 82002-0020 FIRST: The name of the cooperative is: ________________________________________________ SECOND: It is formed under the laws of: _________________________________________________ THIRD: It is no longer transacting business in this state; and it hereby surrenders its authority to transact business in the state of Wyoming. FOURTH: It revokes the authority of its registered agent to accept service on its behalf and appoints the Secretary of State as its agent for service of process in any proceeding based on a cause of action arising during the time it was authorized to transact business in this state. FIFTH: A mailing address to which the Secretary of State may mail a copy of any process served on him under item Four: ________________________________________________________________________ ________________________________________________________________________ SIXTH: It will notify the Secretary of State in the future of any change in its mailing address. Date: ________________________ Signed: ________________________________________ Title: __________________________________________ (May be executed by Chairman of Board, President or another of its officers) ************************************************************************************ Filing Fee: $10.00 Instructions: * The document shall be accompanied by one (1) exact or photo copy. pcop-cofw - Revised: 9/2003
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