Free ss-4412.indd - Tennessee

Print Form

For Office Use Only

ARTICLES OF TERMINATION OF CORPORATE EXISTENCE
Corporate Filings 312 Rosa L. Parks Avenue 6th Floor, William R. Snodgrass Tower Nashville, TN 37243

Pursuant to the provisions of Section 48-24-108 of the Tennessee Business Corporation Act or Section 4 8-64-109 of the Tennessee Nonprofit Corporation Act, the undersigned corporation submits the following articles of Termination of Corporate Existence: 1. The name of the corporation is 2. Indicate which of the following statements apply by marking the appropriate box: As a for-profit corporation, all assets of the corporation have been distributed to its creditors and shareholders. As a nonprofit corporation, all assets of the corporation have been distributed to its creditors and other parties authorized by the Tennessee Nonprofit Corporation Act. 3. The dissolution of the corporation has not been revoked.

[NOTE: Prior to this document being accepted for filing, the Division of Business Services will request tax clearance verification from the Tennessee Department of Revenue that the business has properly filed all reports and paid all required taxes and penalties. If we cannot obtain such tax clearance verification from the Department of Revenue, this document will be rejected and returned to the applicant.] [NOTE: Articles of Dissolution must be filed before, or at the same time that Articles of Termination are filed. If the Articles of Dissolution have a delayed effective date, the Articles of Termination cannot be submitted for filing until such effective date.]

Signature Date

Name of Corporation

Signer's Capacity

Signature

Name (typed or printed)
SS-4412 (Rev. 4/08) Filing Fee $20.00 RDA 1678