Form LLC 12.6 Form Llc-5.40 - Application for Withdrawal - Domestic - Illinois

Form LLC12.6 is a Illinois Secretary of State form also known as the "Form Llc-5.40 - Application For Withdrawal - Domestic". The latest edition of the form was released in December 1, 2017 and is available for digital filing.

Download an up-to-date Form LLC12.6 in PDF-format down below or look it up on the Illinois Secretary of State Forms website.

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LLC-5.40
Illinois
FILE #
Form
Limited Liability Company Act
This space for use by Secretary of State.
May 2012
Application for Withdrawal –
Secretary of State
Domestic
Department of Business Services
Limited Liability Division
SUBMIT IN DUPLICATE
501 S. Second St., Rm. 351
Springfield, IL 62756
Type or Print Clearly.
217-524-8008
This space for use by Secretary of State.
www.cyberdriveillinois.com
Payment may be made by check
payable to Secretary of State. If
Filing Fee: $5
check is returned for any reason this
Approved:
filing will be void.
1. Limited Liability Company Name:____________________________________________________________________
______________________________________________________________________________________________
2. The company has submitted prospective Articles of Organization filed on _______________________________________
Date
with a pending effective date of ______________________________. In accordance with Section 5-40(b) of the Illinois
Limited Liability Company Act, the Organizer hereby withdraws the Articles of Organization to prevent the filing from becoming
effective.
3. The undersigned affirms, under penalties of perjury, having authority to sign hereto, that this application for withdrawal is to
the best of my knowledge and belief, true, correct and complete.
Dated: ___________________________, ______________
Month/Day
Year
________________________________________________
Signature of Organizer
________________________________________________
Name (type or print)
________________________________________________
If organizer is a Company or other Entity,
state Name of Company and Title of Signer.
Printed by authority of the State of Illinois. December 2017 — 1 — LLC 12.6
Print
Reset
LLC-5.40
Illinois
FILE #
Form
Limited Liability Company Act
This space for use by Secretary of State.
May 2012
Application for Withdrawal –
Secretary of State
Domestic
Department of Business Services
Limited Liability Division
SUBMIT IN DUPLICATE
501 S. Second St., Rm. 351
Springfield, IL 62756
Type or Print Clearly.
217-524-8008
This space for use by Secretary of State.
www.cyberdriveillinois.com
Payment may be made by check
payable to Secretary of State. If
Filing Fee: $5
check is returned for any reason this
Approved:
filing will be void.
1. Limited Liability Company Name:____________________________________________________________________
______________________________________________________________________________________________
2. The company has submitted prospective Articles of Organization filed on _______________________________________
Date
with a pending effective date of ______________________________. In accordance with Section 5-40(b) of the Illinois
Limited Liability Company Act, the Organizer hereby withdraws the Articles of Organization to prevent the filing from becoming
effective.
3. The undersigned affirms, under penalties of perjury, having authority to sign hereto, that this application for withdrawal is to
the best of my knowledge and belief, true, correct and complete.
Dated: ___________________________, ______________
Month/Day
Year
________________________________________________
Signature of Organizer
________________________________________________
Name (type or print)
________________________________________________
If organizer is a Company or other Entity,
state Name of Company and Title of Signer.
Printed by authority of the State of Illinois. December 2017 — 1 — LLC 12.6

Download Form LLC 12.6 Form Llc-5.40 - Application for Withdrawal - Domestic - Illinois

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