Free certificate of authority corporations - South Dakota

Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845

APPLICATION FOR CERTIFICATE OF WITHDRAWAL
FOREIGN BUSINESS CORPORATION
Please Type or Print Clearly in Ink

Clear Form

Please submit one Original and one Photocopy

HELP
Telephone # ____________________ FAX # _______________________

FILING FEE: $10 payable to SECRETARY OF STATE

1. The name of the corporation is _____________________________________________________________________ ______________________________________________________________________________________________
Note: This must be the exact corporate name.

2. It is incorporated under the laws of the state of _________________________________________________________

3. It is not transacting business in this state and it surrenders its authority to transact business in this state.

4. It revokes the authority of its registered agent to accept service on its behalf.

5. The address of its principal office (this is the address of the executive offices of the corporation), ______________________________________________________________________________________________
Street Address City State ZIP+4

______________________________________________________________________________________________
Mailing Address (Optional) City State ZIP+4

The application must be signed by an authorized officer of the corporation.

Dated ____________________________

______________________________________________
(Signature of an authorized officer)

______________________________________________
(Printed Name)

______________________________________________
(Title)

foreignapplicationwithdrawal July 2008