Free 368AffidavittoDissolveLouisianaLimitedLiabilityCompany - Louisiana


File Size: 53.4 kB
Pages: 3
Date: November 17, 2008
File Format: PDF
State: Louisiana
Category: Secretary of State
Author: MPhillips
Word Count: 375 Words, 2,269 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.sos.louisiana.gov/Portals/0/368AffidavittoDissolveLouisianaLimitedLiabilityCompany.pdf

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JAY DARDENNE SECRETARY OF STATE

STATE OF LOUISIANA SECRETARY OF STATE

Commercial (225) 925-4704 (225) 922-0435 Fax Administrative Services (225) 925-4704 (225) 925-4726 Fax Uniform Commercial Code (225) 922-1193 (225) 922-0452 Fax

TRANSMITTAL INFORMATION For All Business Filings

Business Name (List exactly as it appears in documents)

Name of person filing document (evidence of filing will be mailed to this person, at address below)

Address

City

State

Zip Code

Daytime phone number

Fax number

Email address

NOTE: Louisiana Law requires all Louisiana notaries to print or type their name and notary or bar roll number on the document.

Mailing Address: P. O. Box 94125, Baton Rouge, LA * 70804-9125 Office Location: 8585 Archives Ave., Baton Rouge, LA * 70809 Web Site Address: www.sos.louisiana.gov
SS984 Rev. 10/08

Jay Dardenne Secretary of State

AFFIDAVIT TO DISSOLVE LIMITED LIABILITY COMPANY
(R.S. 12:1335.1)

Domestic Limited Liability Company Return to: Commercial Division Enclose $75.00 filing fee P. O. Box 94125 Make remittance payable to Baton Rouge, LA 70804-9125 Secretary of State Phone (225) 925-4704 Do Not Send Cash Web Site: www.sos.louisiana.gov

STATE OF PARISH/COUNTY OF BEFORE ME, the undersigned Notary Public in and for the parish/county herein above shown, personally came and appeared the undersigned who, after being duly sworn, did depose and say that:

Limited Liability Company Name

is no longer doing business, owes no debts and is dissolved by filing this affidavit with the Secretary of State, executed by the member(s) or organizer(s) if no membership interests have been issued, attesting to such facts. The undersigned further declared that they are: (check one) ( ) ( ) All of the members of the above named limited liability company. All of the organizers of the above named limited liability company, and no membership interests have been issued.

Member(s) or Organizer(s) Signature(s)

Sworn to and subscribed before me, the undersigned Notary Public, on this date: NOTARY NAME MUST BE TYPED OR PRINTED WITH NOTARY #

Notary Signature
SS368 03/08

INSTRUCTIONS

1. 2.

File this form, along with the appropriate filing fee with the Secretary of State's office. You will receive a Certificate of Dissolution.