Free - - Mississippi


File Size: 77.4 kB
Pages: 2
Date: September 11, 2008
File Format: PDF
State: Mississippi
Category: Secretary of State
Author: DELOITTE & TOUCHE
Word Count: 195 Words, 1,197 Characters
Page Size: Letter (8 1/2" x 11")
URL

https://secure.sos.state.ms.us/forms/corp/f0103.pdf

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F0103 - Page 1 of 2

OFFICE OF THE MISSISSIPPI SECRETARY OF STATE
P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1633

*0103-1-2*
1. Name of Limited Liability Company

Mississippi LLC Certificate of Dissolution or Cancellation

The undersigned, pursuant to Senate Bill No. 2395, Chapter 402, Laws of 1994, hereby executes the following Certificate of Dissolution or Cancellation and sets forth:

2. The reason for filing the certificate of (Complete and mark appropriate box)

dissolution

cancellation is

3. The future effective date of (Complete and mark appropriate box)

dissolution

cancellation is

4. Any other information the members or managers determine to include

By:

Signature

(Please keep writing within blocks)

Printed Name Street and Mailing Address Physical Address P.O. Box City, State, ZIP5, ZIP4

Title

-

Rev. 01/96

F0103 - Page 2 of 2

OFFICE OF THE MISSISSIPPI SECRETARY OF STATE
P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1633

*0103-2-2*
By: Signature

Mississippi LLC Certificate of Dissolution or Cancellation
(Please keep writing within blocks)

Printed Name Street and Mailing Address Physical Address P.O. Box City, State, ZIP5, ZIP4

Title

-

Rev. 01/96