Free Microsoft Word - Document1 - Washington

Washington Profit Corporation
See attached detailed instructions

No Fee for Standard Service Expedited Service $20.00

UBI Number:

ARTICLES OF DISSOLUTION
Chapter 23B.14 RCW

A Washington State Department of Revenue Clearance Certificate Must Be Attached
SECTION 1
NAME OF CORPORATION: (as currently recorded with the Office of the Secretary of State)

SECTION 2
HOW THE DISSOLUTION WAS AUTHORIZED: (please check one of the following)



Proposed by the Board of Directors and approved by the Shareholders pursuant to RCW 23B.14.020 Approved by a majority of the Board of Directors, or by the Incorporators pursuant to RCW 23B.14.010

SECTION 3
EFFECTIVE DATE OF DISSOLUTION: (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 Articles of Dissolution have been filed by the Office of the Secretary of State)

SECTION 4
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 Number

Profit Corporation - Dissolution

Washington Secretary of State

This Box For Office Use Only

Page 1 of 1

Revised 02/09

Instructions ­ Articles of Dissolution
Please complete all sections of the Articles of Dissolution. USE DARK INK ONLY. For an electronic, fillable version of this form, please visit our website at www.secstate.wa.gov/corps

Section 1:
Complete with the entity name exactly as currently recorded with the Office of the Secretary of State

Section 2:
Check the appropriate box that identifies how the dissolution was authorized.

Section 3:
An effective date may be specified. The effective date can be up to 90 days AFTER the Articles of Dissolution have been filed by the Office of the Secretary of State.

Section 4:
The signer must be an officer or the chairman of the board of the corporation. The incorporator may sign only if no officers or directors are named in the Articles or if an initial annual report or annual report has not been filed.

Additional Information:

A Washington State Department of Revenue Clearance Certificate Must Be Attached
The Revenue Clearance Certificate is obtained from the Department of Revenue. Not providing all required information may result in a rejection of the document and could create a delay in processing. The request for a revenue clearance certificate can be found at: http://www.secstate.wa.gov/corps/forms/appwthdrwlordissolcorpguaranty_e.pdf 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 fee for a standard filing of dissolution. If expedited service is requested, include a $20.00 check 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

Profit Corporation - Dissolution

Washington Secretary of State

Revised 02/09