Illinois > Secretary Of State > Limited Liability Company
Application For Withdrawal LLC-45.40 - Illinois
| Application For Withdrawal Form. This is a Illinois form and can be used in Limited Liability Company Secretary Of State . |
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Form LLC-45.40 May 2012 Illinois Limited Liability Company Act Application for Withdrawal SUBMITINDUPLICATE Type or Print Clearly This space for use by Secretary of State. Filing Fee: Approved: $100 FILE # This space for use by Secretary of State. Secretary of State Department of Business Services Limited Liability Division 501 S. Second St., Rm. 351 Springfield, IL 62756 217-524-8008 www.cyberdriveillinois.com Payment may be made by check payable to Secretary of State. If check is returned for any reason this filing will be void. 1. Limited Liability Company Name:____________________________________________________________________ ______________________________________________________________________________________________ 2. State or Country of Organization: ___________________________________________________________________ 3. Street Address to which a copy of any process against the company served on the Secretary of State may be mailed: _________________________________________________________________________________________________ _________________________________________________________________________________________________ 4. The company is not transacting business in Illinois. 5. The company surrenders its admission to transact business in Illinois. 6. The company revokes the authority of its registered agent in Illinois and consents that service of process may hereafter be made on the company by service thereof upon the Secretary of State. 7. The undersigned affirms, under penalties of perjury, having authority to sign hereto, that this application for withdrawal is to the best of my knowledge and belief, true, correct and complete. Dated _________________________________, _______________ Month & Day Year ______________________________________________________________ Signature ______________________________________________________________ Name and Title (type or print) RETURNTO: (Please type or print clearly.) _____________________________________________ Name _____________________________________________ Street _____________________________________________ City, State, ZIP Code ______________________________________________________________ Name if applicant is a Company or other Entity, state Name of Company and whether a member or manager of the LLC. Printed by authority of the State of Illinois. May 2012 -- 1 -- LLC 10.7 American LegalNet, Inc. www.FormsWorkFlow.com
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