Free Cancellation/Withdrawal of a Limited Liability Company - Washington


File Size: 138.2 kB
Pages: 3
Date: February 20, 2009
File Format: PDF
State: Washington
Category: Secretary of State
Author: smorris
Word Count: 771 Words, 5,011 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.secstate.wa.gov/_assets/corps/llccancel.pdf

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Preview Cancellation/Withdrawal of a Limited Liability Company
Limited Liability Company
See attached detailed instructions

No Fee for Standard Service Expedited Service $20.00

UBI Number:

CERTIFICATE OF CANCELLATION
Chapter 25.15 RCW SECTION 1
NAME OF LIMITED LIABILITY COMPANY: (as currently recorded with the Office of the Secretary of State)

SECTION 2
TYPE OF LIMITED LIABILITY COMPANY: (please check one of the following)



Domestic (Formed in Washington State) Foreign (Formed in any other State or Jurisdiction)

SECTION 3
ORIGINAL DATE OF CERTIFICATE OF FORMATION/REGISTRATION:

SECTION 4
EFFECTIVE DATE OF CANCELLATION: (please check one of the following)



Upon filing by the Secretary of State Specific Date: __________________ (Specified effective date must be within 90 days AFTER the
Cancellation has been filed by the Office of the Secretary of State)

SECTION 5
ADDRESS WHERE SERVICE OF PROCESS MAY BE FORWARDED FOR FOREIGN LLC'S: Address: _______________________________City___________________State _Zip Code_______

LLC - Cancellation

Washington Secretary of State

This Box For Office Use Only

Page 1 of 2

Revised 02/09

Page 2 of 2

SECTION 6
REASON FOR CANCELLATION: (if necessary, attach additional information)

SECTION 7
MEMBER OR MANAGER SIGNATURE (see instructions page)
This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.

X_______________________________________________________________________________________ Signature Printed Name/Title Date Phone

RCW 25.15.080

Cancellation of certificate
A certificate of formation shall be canceled upon the effective date of the certificate of cancellation, or as provided in RCW 25.15.290, or upon the filing of articles of merger if the limited liability company is not the surviving or resulting entity in a merger. A certificate of cancellation shall be filed in the office of the secretary of state to accomplish the cancellation of a certificate of formation upon the dissolution and the completion of winding up of a limited liability company and shall set forth: (1) The name of the limited liability company; (2) The date of filing of its certificate of formation; (3) The reason for filing the certificate of cancellation; (4) The future effective date (which shall be a date not later than the ninetieth day after the date it is filed) of cancellation if it is not to be effective upon the filing of the certificate; and (5) Any other information the person filing the certificate of cancellation determines.
[1994 c 211 203.]

LLC - Cancellation

Washington Secretary of State

Revised 02/09

INSTRUCTIONS CERTIFICATE OF CANCELLATION
Please complete all sections of the Certificate of Cancellation. USE DARK INK ONLY. For an electronic, fillable version of this form, please visit our website at www.secstate.wa.gov/corps Section 1 Provide the Limited Liability Company (LLC) name as it is currently is recorded with the Office of the Secretary of State. Section 2 Select the type of Limited Liability Company either Domestic (formed inside Washington State) or Foreign (formed outside Washington State) as registered with the Office of the Secretary of State. Section 3 List the original filing date of the Limited Liability Company's Certificate of Formation/Registration as recorded with the Office of the Secretary of State. Section 4 Choose either upon filing by the Secretary of State or you may indicate an effective date. The effective date can be up to 90 days AFTER filing the cancellation of the Certificate of Formation by the Office of the Secretary of State. Section 5 Section 5 is for Foreign Limited Liability Companies ONLY. A Foreign LLC must complete this section with an address where service of process may be forwarded. Section 6 List the reason(s) for cancellation of the Limited Liability Company. (if necessary, attach additional information) Section 7 The Certificate of Cancellation must be signed by a member or manager of the LLC or their authorized representative. If signed by an authorized representative you must provide the title and capacity of person signing and whom they represent. Additional Information: UBI Number: Please enter your existing Unified Business Identifier (UBI Number) as currently recorded with the Office of the Secretary of State, in the box in the upper right hand corner of page 1. FEES: There is no filing fee for standard service. If expedited service is requested, include an additional $20.00 and write "EXPEDITE" on the outside of the envelope. Make the checks or money orders payable to "Secretary of State". (Effective March 26, 2009 ALL fees are non-refundable) Mail completed forms and payment to: Secretary of State Corporation Division 801 Capitol Way S PO Box 40234 Olympia WA 98504-0234 If you have questions, need assistance, or would like to provide feedback please visit the Corporations Division website at www.secstate.wa.gov/corps or call 360-725-0377.

Print Form

LLC - Cancellation

Washington Secretary of State

Revised 02/09