Form LLC 35.6 Form Llc-5.38 - Petition for Refund - Illinois

Form LLC35.6 is a Illinois Secretary of State form also known as the "Form Llc-5.38 - Petition For Refund". The latest edition of the form was released in December 1, 2017 and is available for digital filing.

Download an up-to-date Form LLC35.6 in PDF-format down below or look it up on the Illinois Secretary of State Forms website.

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Illinois
FILE #
LLC-5.48
Form
Limited Liability Company Act
This space for use by Secretary of State.
July 2017
Petition for Refund
Secretary of State
Department of Business Services
Limited Liability Division
SUBMIT IN DUPLICATE
501 S. Second St., Rm. 351
Type or print clearly.
Springfield, IL 62756
217-524-8008
www.cyberdriveillinois.com
Filing Fee: $5
Payment may be made by check
Approved:
payable to Secretary of State. If
check is returned for any reason
this filing will be void.
1. Limited Liability Company name: ______________________________________________ _____________________
2. State or country of organization: ___________________________________________________________________
3. Amount of claim: ________________________________________________________________________________
No refund shall be made for an overpayment of less than $200.
Any amount to be refunded shall be reduced by $200.
4. Details of transaction and all facts upon which the petitioner relies: ________________________________________
(If there is not sufficient space to cover this point, attach additional sheets of this size.)
5. I affirm, under the penalties of perjury, having the authority to sign hereto, that this Petition for Refund is to the best of
my knowledge and belief, true, correct and complete.
Date: _________________________, ___________
Year
Month/Day
________________________________________
Signature
________________________________________
Name and Title (type or print)
________________________________________
If applicant is signing for a company or other entity,
state name of company.
Printed by authority of the State of Illinois. December 2017 — 1 — LLC 35.6
Print
Reset
Illinois
FILE #
LLC-5.48
Form
Limited Liability Company Act
This space for use by Secretary of State.
July 2017
Petition for Refund
Secretary of State
Department of Business Services
Limited Liability Division
SUBMIT IN DUPLICATE
501 S. Second St., Rm. 351
Type or print clearly.
Springfield, IL 62756
217-524-8008
www.cyberdriveillinois.com
Filing Fee: $5
Payment may be made by check
Approved:
payable to Secretary of State. If
check is returned for any reason
this filing will be void.
1. Limited Liability Company name: ______________________________________________ _____________________
2. State or country of organization: ___________________________________________________________________
3. Amount of claim: ________________________________________________________________________________
No refund shall be made for an overpayment of less than $200.
Any amount to be refunded shall be reduced by $200.
4. Details of transaction and all facts upon which the petitioner relies: ________________________________________
(If there is not sufficient space to cover this point, attach additional sheets of this size.)
5. I affirm, under the penalties of perjury, having the authority to sign hereto, that this Petition for Refund is to the best of
my knowledge and belief, true, correct and complete.
Date: _________________________, ___________
Year
Month/Day
________________________________________
Signature
________________________________________
Name and Title (type or print)
________________________________________
If applicant is signing for a company or other entity,
state name of company.
Printed by authority of the State of Illinois. December 2017 — 1 — LLC 35.6

Download Form LLC 35.6 Form Llc-5.38 - Petition for Refund - Illinois

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