Kansas > Secretary Of State > Business Entities > Corporations > For Profit
Foreign Corporation Certificate Of Withdrawal FW - Kansas
| Foreign Corporation Certificate Of Withdrawal Form. This is a Kansas form and can be used in For Profit Corporations Business Entities Secretary Of State . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
FW 53-04 CONTACT: KANSAS SECRETARY OF STATE Foreign Corporation Certificate of Withdrawal Kansas Office of the Secretary of State (785) 296-4564 kssos@sos.ks.gov www.sos.ks.gov Memorial Hall, 1st Floor 120 S.W. 10th Avenue Topeka, KS 66612-1594 Above space is for office use only. i All information must be completed or this document will not be accepted for filing. Please read instructions before completing. INSTRUCTIONS: 1. Business entity ID number: This is not the Federal Employer ID Number (FEIN) _______________________________________ ________________________________________________________________________________________ _______________________________________ 2. Name of corporation: Name must match the name on record with the Secretary of State 3. State of incorporation: 4. The Secretary of State may mail any legal ________________________________________________________________________________________ process against the Name Street Address corporation to: Address must be a street address. ______________________________________________________________________________________ A P.O. box is unacceptable City State Zip 5. The corporation surrenders its authority to transact business in the state of Kansas and withdraws therefrom. 6. Effective date: A future effective date must be within 90 days of filing date Upon filing Future effective date ______________________________ Month Day Year 7. I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct and I have remitted the required fee. ________________________________________________________ Signature of authorized officer ________________________________________________________ Date (month, date, year) ________________________________________________________ Name of signer (printed or typed) i Instructions: Save time and money by filing your withdrawal online at www.sos.ks.gov 1. If this form is submitted after the close of the entity's tax year, an annual report and fee must be filed along with or prior to dissolution. If the entity has forfeited, it must reinstate before withdrawal. 2. Submit this form with the $35 filing fee. STAY UP-TO-DATE ON YOUR ORGANIZATION'S STATUS, ANNUAL REPORT DUE DATE AND CONTACT ADDRESSES BY GOING TO WWW.SOS.KS.GOV. UNDER QUICK LINKS, SELECT SEARCH BUSINESS ENTITY INFORMATION. There is a $25 service fee for all checks returned by your financial institution. All information must be completed or this document will not be accepted for filing. NOTICE: Rev. 12/28/10 jdr Page 1 of 1 K.S.A. 17-7306 American LegalNet, Inc. www.FormsWorkFlow.com
|
|||||||
