Free Attached is a form to withdraw the authority of a foreign corporation that is transacting business or conducting affairs in Fl - Florida

FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS

Attached is a form to withdraw the authority of a foreign corporation that is transacting business or conducting affairs in Florida. The requirements are as follows:

Pursuant to section 607.1520 or 617.1520, Florida Statutes, the attached application should be completed in its entirety. The fees are as follows: Filing Fee $ 35.00 includes a letter of acknowledgment
and a certificate of status/ withdrawal

Certified Copy (optional) Certificate of Status (additional) (optional) -

$ 8.75 $ 8.75

Checks should be made payable to the Florida Department of State. Please complete the attached cover letter and return it with the withdrawal application and fee. Mailing Address: Amendment Section Division of Corporations P.O. Box 6327 Tallahassee, FL 32314 Street Address: Amendment Section Division of Corporations Clifton Building 2661 Executive Center Circle Tallahassee, FL 32301

For further information, you may call (850) 245-6050.

CR2E023 (8/05)

COVER LETTER
TO: Amendment Section Division of Corporations

SUBJECT: ___________________________________________________________________ (Name of Corporation) DOCUMENT NUMBER: The enclosed withdrawal application and fee are submitted for filing. Please return all correspondence concerning this matter to the following:

(Name of Person)

(Firm/Company)

(Address)

(City/State and Zip code) For further information concerning this matter, please call: _______________________________________ at (_________)__________________________________ (Name of Person) (Area Code & Daytime Telephone Number)

MAILING ADDRESS: Amendment Section Division of Corporations P.O. Box 6327 Tallahassee, FL 32314

STREET ADDRESS: Amendment Section Division of Corporations Clifton Building 2661 Executive Center Circle Tallahassee, FL 32301

APPLICATION BY FOREIGN CORPORATION FOR WITHDRAWAL OF AUTHORITY TO TRANSACT BUSINESS OR CONDUCT AFFAIRS IN FLORIDA

(Name of Corporation)

(Document Number of Corporation (if known)

(Incorporated Under Laws of)

This corporation is no longer transacting business or conducting affairs within the State of Florida and hereby voluntarily surrenders its authority to transact business or conduct affairs in Florida. This corporation revokes the authority of its registered agent in Florida to accept service on its behalf and appoints the Department of State as its agent for service of process based on a cause of action arising during the time it was authorized to transact business or conduct affairs in Florida. The following is a current mailing address for the corporation:

(Mailing Address)

(City/ State /Zip)

The corporation agrees to notify the Department of State in the future of any change in its mailing address.

(Signature of a director, president or other officer - if in the hands of a receiver or other court appointed fiduciary, by that fiduciary)

(Date)

(Typed or printed name of person signing)

(Title of person signing)

FILING FEE $35