Last updated: 9/2/2025
Notice Of Withdrawal Of Registration {500-12}
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Description
Form 500-12 - NOTICE OF WITHDRAWAL OF REGISTRATION. This form is used by an issuer to withdraw a pending application for securities registration in the State of Nevada. By filing this document with the Secretary of State, the issuer notifies the Securities Division that it no longer wishes to proceed with the registration process. The form requires disclosure of the issuer’s name, address, and the Nevada Securities Division file number associated with the application. It also includes a certification that no sales of securities have occurred in Nevada under the application, or if sales have taken place, the issuer must provide a full accounting of those sales and await written approval of the withdrawal. The form makes clear that any filing fees previously paid will not be refunded. To complete the withdrawal, the authorized submitter must sign and provide their name, address, and contact information. www.FormsWorkflow.com
