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Application For Reinstatement NMPRC-RI - New Mexico

Application For Reinstatement Form. This is a New Mexico form and can be used in Cooperative Association Corporation Bureau Public Regulation Commission .
 Fillable pdf Last Modified 10/6/2005
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PUBLIC REGULATION COMMISSION TAX COMPLIANCE DIVISION PO BOX 1269 SANTA FE, NM 87504-1269 APPLICATION FOR REINSTATEMENT (TYPE OR PRINT LEGIBLY) Pursuant to New Mexico State Statutes the undersigned applies to the commission for Reinstatement: 1. The name of the corporation is____________________________ NMPRC# _____________and the effective date the Certificate of Revocation was filedMo: nth ______Day ______Year ______ 2. (Mark (X) on the appropriate item): ____ Grounds for revocation did not exist; (If applicable, please explain) ___________________________________________________ ___________________________________________________ _____ Grounds have been eliminated upon the filing of delinquent reports and/or fees due. 3. The name satisfies state law regarding availability of corporate name. _________________________ AUTHORIZED OFFICER (S IGN ATURE ) NAME: _______________________________ ADDRESS: ____________________________ CITY: __________________ST: _____ ZIP CODE: ____________ NMPRC-RI 07/03 <<<<<<<<<********>>>>>>>>>>>>> 2 INTERNAL AUDIT/REINSTATEMENT Date:__________________________ PUBLIC REGULATION COMMISSION TAX COMPLIANCE DIVISION P.O. BOX 1269 SANTA FE, NEW MEXICO 87504-1269 (505) 827-4510 FAX (505) 476-0324 RE: REQUEST FOR AUDIT/REINSTATEMENT EXACT CORPORATE NAME:_________________________________________________________________ ________________________________________________________________________ NMPRC #__________________________ REQUESTING PARTY NAME:_________________________________________________________________ ADDRESS:______________________________________________________________ CITY:__________________________________________________________________ STATE:___________________________________ZIP CODE:____________________ TELEPHONE # (_________) ____________________ SIGNATURE____________________________________ NOTE: THE PUBLIC REGULATION COMMISSION, TAX COMPLIANCE DIVISION WILL RESEARCH THE FILE AND ADVISE THE CORPORATION, IN WRITING, OF ANY DELINQUENCIES. CORPORATE REPORTS WILL BE INCLUDED, IF REQUIRED, AS WELL AS A SUMMARY OF FEES DUE. ****INFORMATION MUST BE LIGIBLE****
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