Free Cancellation of Certificate - Wyoming

Wyoming Secretary of State
State Capitol Building, Room 110 200 West 24th Street Cheyenne, WY 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: [email protected]

For Office Use Only

Statutory Trust Certificate of Cancellation
1. Name of the statutory trust:

2. Date of filing of its certificate of trust:
(Date ­ mm/dd/yyyy)

3. Effective date or time of cancellation if it is not to be effective upon the filing of this certificate:
(Date ­ mm/dd/yyyy)

5. Any other information:

6. A certificate of cancellation shall be signed by all of the trustees. Date:
(mm/dd/yyyy)

Trustee Signature: ____________________________________ Print Name:

Date:
(mm/dd/yyyy)

Trustee Signature: ____________________________________ Print Name:

Date:
(mm/dd/yyyy)

Trustee Signature: ____________________________________ Print Name:

Contact Person: Daytime Phone Number: Checklist Filing Fee: $25.00 Make check or money order payable to Wyoming Secretary of State. Please submit one originally signed document and one exact photocopy of the filing. Please review form prior to submitting to the Secretary of State to ensure all areas have been completed to avoid a delay in the processing of your documents.
ST-Cancellation - Revised 12/2008