"Statement of Withdrawal of Registration - Foreign Limited Liability Company" - Connecticut

Statement of Withdrawal of Registration - Foreign Limited Liability Company is a legal document that was released by the Connecticut Secretary of the State - a government authority operating within Connecticut.

Form Details:

  • Released on July 1, 2017;
  • The latest edition currently provided by the Connecticut Secretary of the State;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Connecticut Secretary of the State.

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Download "Statement of Withdrawal of Registration - Foreign Limited Liability Company" - Connecticut

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SECRETARY OF THE STATE OF CONNECTICUT
MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470
DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106
860-509-6003
www.concord-sots.ct.gov
PHONE:
WEBSITE:
STATEMENT OF WITHDRAWAL OF REGISTRATION
FOREIGN LIMITED LIABILITY COMPANY
C.G.S. § 34-275h
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 8
1/2
X 11 SHEETS IF NECESSARY
FILING PARTY
:
FILING FEE: $120
(CONFIRMATION WILL BE SENT TO THIS ADDRESS)
MAKE CHECKS PAYABLE TO "SECRETARY
OF THE STATE"
NAME:
MAILING ADDRESS:
CITY:
STATE:
ZIP:
1. NAME OF LIMITED LIABILITY COMPANY IN STATE OR COUNTRY OF FORMATION:
2. THE NAME UNDER WHICH THE LIMITED LIABILITY COMPANY TRANSACTS BUSINESS IN CONNECTICUT, IF
DIFFERENT FROM THE NAME STATED ABOVE:
3. STATE OR COUNTRY OF FORMATION:
THE UNDERSIGNED ASSERTS THAT THE ABOVE NAMED LIMITED LIABILITY COMPANY IS NOT TRANSACTING BUSINESS IN CONNECTICUT
AND SURRENDERS ITS CERTIFICATE OF REGISTRATION TO DO SO. IT FURTHER REVOKES THE AUTHORITY OF ITS REGISTERED AGENT
AND CONSENTS THAT PROCESS IN ANY ACTION, SUIT OR PROCEEDING BASED UPON ANY CAUSE OF ACTION ARISING IN CONNECTICUT
DURING THE TIME THE LIMITED LIABILITY COMPANY WAS AUTHORIZED TO TRANSACT BUSINESS IN THIS STATE MAY BE SERVED UPON
THE SECRETARY OF THE STATE.
4. ADDRESS TO MAIL PROCESS SERVED UPON THE SECRETARY OF THE STATE PURSUANT TO THE
APPOINTMENT MADE ABOVE:
ADDRESS:
CITY:
STATE:
ZIP:
6. EXECUTION:
DATE (MM/DD/YYYY)
NAME OF SIGNATORY
CAPACITY/TITLE OF SIGNATORY
SIGNATURE
Rev. 7/2017
PAGE 1 OF 1
SECRETARY OF THE STATE OF CONNECTICUT
MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470
DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106
860-509-6003
www.concord-sots.ct.gov
PHONE:
WEBSITE:
STATEMENT OF WITHDRAWAL OF REGISTRATION
FOREIGN LIMITED LIABILITY COMPANY
C.G.S. § 34-275h
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 8
1/2
X 11 SHEETS IF NECESSARY
FILING PARTY
:
FILING FEE: $120
(CONFIRMATION WILL BE SENT TO THIS ADDRESS)
MAKE CHECKS PAYABLE TO "SECRETARY
OF THE STATE"
NAME:
MAILING ADDRESS:
CITY:
STATE:
ZIP:
1. NAME OF LIMITED LIABILITY COMPANY IN STATE OR COUNTRY OF FORMATION:
2. THE NAME UNDER WHICH THE LIMITED LIABILITY COMPANY TRANSACTS BUSINESS IN CONNECTICUT, IF
DIFFERENT FROM THE NAME STATED ABOVE:
3. STATE OR COUNTRY OF FORMATION:
THE UNDERSIGNED ASSERTS THAT THE ABOVE NAMED LIMITED LIABILITY COMPANY IS NOT TRANSACTING BUSINESS IN CONNECTICUT
AND SURRENDERS ITS CERTIFICATE OF REGISTRATION TO DO SO. IT FURTHER REVOKES THE AUTHORITY OF ITS REGISTERED AGENT
AND CONSENTS THAT PROCESS IN ANY ACTION, SUIT OR PROCEEDING BASED UPON ANY CAUSE OF ACTION ARISING IN CONNECTICUT
DURING THE TIME THE LIMITED LIABILITY COMPANY WAS AUTHORIZED TO TRANSACT BUSINESS IN THIS STATE MAY BE SERVED UPON
THE SECRETARY OF THE STATE.
4. ADDRESS TO MAIL PROCESS SERVED UPON THE SECRETARY OF THE STATE PURSUANT TO THE
APPOINTMENT MADE ABOVE:
ADDRESS:
CITY:
STATE:
ZIP:
6. EXECUTION:
DATE (MM/DD/YYYY)
NAME OF SIGNATORY
CAPACITY/TITLE OF SIGNATORY
SIGNATURE
Rev. 7/2017
PAGE 1 OF 1
INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR A STATEMENT OF WITHDRAWAL:
Foreign Limited Liability Company
A foreign limited liability company authorized to transact business in Connecticut may withdraw its certificate of
registration by filing a statement of withdrawal of registration.
INSTRUCTIONS:
1. NAME OF LIMITED LIABILITY COMPANY IN STATE OR COUNTRY OF FORMATION: Please provide the name of
the limited liability company.
2. THE NAME UNDER WHICH LIMITED LIABILITY COMPANY TRANSACTS BUSINESS IN CONNECTICUT:
Provide the name under which the limited liability company transacts business in Connecticut as it currently appears on
the records of the Secretary of the State if other that the name stated in item number 1.
3. STATE/COUNTRY OF FORMATION: Please provide the limited liability company's state or country of formation.
4. MAILING ADDRESS FOR PROCESS SERVED UPON THE SECRETARY OF THE STATE: The limited liability
company is required by law to appoint the Secretary of the State of Connecticut as its agent to receive legal process in
any action suit or proceeding which is based upon a cause of action arising in Connecticut during the time it was
authorized to transact business, see Conn. Gen. Stat. Sec. 34-275h. Therefore, please provide an address to which the
Secretary of the State must mail a copy of any process received pursuant to this appointment. The address must
include, at minimum, a street, city, state (or country if outside of the United States) and a postal code.
5. EXECUTION: The document must be executed / signed by an authorized official of the limited liability company. That
person must print or type their name, state the capacity under which they sign and provide a signature. The execution
constitutes a legal statement under the penalties of false statement that the information provided in the
document is true.
OFFICE OF THE SECRETARY OF THE STATE
MAILING ADDRESS:
COMMERCIAL RECORDING DIVISION,
CONNECTICUT SECRETARY OF THE STATE,
P.O. BOX 150470,
HARTFORD, CT 06115-0470
DELIVERY ADDRESS:
COMMERCIAL RECORDING DIVISION,
CONNECTICUT SECRETARY OF THE STATE,
30 TRINITY STREET,
HARTFORD, CT 06106
PHONE: 860-509-6003
WEBSITE:
www.concord-sots.ct.gov
INSTRUCTIONS
DO NOT SCAN THIS PAGE
Rev. 7/2017
Page of 2