Form 592 "Statement Under Section 1703.17 (For Foreign, Profit or Nonprofit)" - Ohio

What Is Form 592?

This is a legal form that was released by the Ohio Secretary of State - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2019;
  • The latest edition provided by the Ohio Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 592 by clicking the link below or browse more documents and templates provided by the Ohio Secretary of State.

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Download Form 592 "Statement Under Section 1703.17 (For Foreign, Profit or Nonprofit)" - Ohio

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Toll Free: 877.767.3453 | Central Ohio: 614.466.3910
OhioSoS.gov
|
business@OhioSoS.gov
File online or for more information:
OhioBusinessCentral.gov
Filing Form Cover Letter
Please return the approval certificate to:
Name
(Individual or Business Name):
To the Attention of
(if necessary):
Address:
City:
State
ZIP Code:
Phone Number:
E-mail Address:
Check here if you would like to receive important notices via e-mail from the Ohio Secretary of State's office regarding
Business Services.
Check here if you would like to be signed up for our Filing Notification System for the business entity being created or
updated by filing this form. This is a free service provided to notify you via e-mail when any document is filed on your
business record.
Please make checks or money orders payable to: "Ohio Secretary of State"
Type of Service Being Requested: (PLEASE CHECK ONE BOX BELOW)
Regular Service: Only the filing fee listed on page one of the form is required and the filing will be
processed in approximately 3-7 business days. The processing time may vary based on the volume of
filings received by our office.
Expedite Service 1: By including an Expedite fee of $100.00, in addition to the regular filing fee on page
one of the form, the filing will be processed within 2 business days after it is received by our office.
Expedite Service 2: By including an Expedite fee of $200.00, in addition to the regular filing fee on page
one of the form, the filing will be processed within 1 business day after it is received by our office.
This
service is only available to walk-in customers who hand deliver the document to the Client Service Center.
Expedite Service 3: By including an Expedite fee of $300.00, in addition to the regular filing fee on page
one of the form, the filing will be processed within 4 hours after it is received by our office, if received by 1:00
p.m.
This service is only available to walk-in customers who hand deliver the document to the Client Service Center.
Preclearance Filing: A filing form, to be submitted at a later date for processing, may be submitted to be
examined for the purpose of advising as to the acceptability of the proposed filing for a fee of $50.00. The
Preclearance will be complete within 1-2 business days.
Form 592
Last Revised: 06/2019
Page 1 of 3
Toll Free: 877.767.3453 | Central Ohio: 614.466.3910
OhioSoS.gov
|
business@OhioSoS.gov
File online or for more information:
OhioBusinessCentral.gov
Filing Form Cover Letter
Please return the approval certificate to:
Name
(Individual or Business Name):
To the Attention of
(if necessary):
Address:
City:
State
ZIP Code:
Phone Number:
E-mail Address:
Check here if you would like to receive important notices via e-mail from the Ohio Secretary of State's office regarding
Business Services.
Check here if you would like to be signed up for our Filing Notification System for the business entity being created or
updated by filing this form. This is a free service provided to notify you via e-mail when any document is filed on your
business record.
Please make checks or money orders payable to: "Ohio Secretary of State"
Type of Service Being Requested: (PLEASE CHECK ONE BOX BELOW)
Regular Service: Only the filing fee listed on page one of the form is required and the filing will be
processed in approximately 3-7 business days. The processing time may vary based on the volume of
filings received by our office.
Expedite Service 1: By including an Expedite fee of $100.00, in addition to the regular filing fee on page
one of the form, the filing will be processed within 2 business days after it is received by our office.
Expedite Service 2: By including an Expedite fee of $200.00, in addition to the regular filing fee on page
one of the form, the filing will be processed within 1 business day after it is received by our office.
This
service is only available to walk-in customers who hand deliver the document to the Client Service Center.
Expedite Service 3: By including an Expedite fee of $300.00, in addition to the regular filing fee on page
one of the form, the filing will be processed within 4 hours after it is received by our office, if received by 1:00
p.m.
This service is only available to walk-in customers who hand deliver the document to the Client Service Center.
Preclearance Filing: A filing form, to be submitted at a later date for processing, may be submitted to be
examined for the purpose of advising as to the acceptability of the proposed filing for a fee of $50.00. The
Preclearance will be complete within 1-2 business days.
Form 592
Last Revised: 06/2019
Page 1 of 3
Form 592 Prescribed by:
Mail this form to one of the following:
Toll Free: 877.767.3453
Regular Filing (non expedite)
Central Ohio: 614.466.3910
P.O. Box 1329
Columbus, OH 43216
OhioSoS.gov
Expedite Filing (Two business day processing time.
business@OhioSoS.gov
Requires an additional $100.00)
P.O. Box 1390
File online or for more information:
OhioBusinessCentral.gov
Columbus, OH 43216
For screen readers, follow instructions located at this path.
Statement Under Section 1703.17
(For Foreign, Profit or Nonprofit)
(999-SUD or 999-SUC)
Filing Fee: $50.00
Form Must Be Typed
Pursuant to the provisions of Section 1703.17 of the Revised Code of Ohio,
, a
Name of Corporation
Ohio License No.
corporation organized under the laws of
states that the address to which the
Jurisdiction of Formation
Secretary of State may mail any process against such corporation that may be served upon him, and may mail any other
notices, certificates, or statements is
Mailing Address
State
City
ZIP Code
Signature
Name
Title
NOTE: This form must accompany a certificate from the corporation's jurisdiction of formation which reflects that the entity
dissolved or its corporate existence otherwise terminated or a certified copy of a court order terminating the existence of the
corporation.
Form 592
Last Revised: 06/2019
Page 2 of 3
Instruction for Statement Under 1703.17
This form should be used if you wish to surrender your license pursuant to ORC 1703.17 (E). Although
ORC 1703.17(B) describes the Certificate of Surrender (Form 564) which may be filed with the secretary of
state, the law also provides an alternative method.
ORC 1703.17(E) states a corporation may, in lieu of filing a Certificate of Surrender (Form 564), may file a
certificate from the jurisdiction of formation certifying the dissolution of the corporation, or that the corporation's
existence was otherwise terminated, or a certified copy of an order of court terminating the existence of the
corporation. The law requires the corporation to provide the address to which the secretary of state may mail
any process against such corporation that may be served upon the secretary of state, and may mail any other
notices, certificates, or statements.
Form 592
Last Revised: 06/2019
Page 3 of 3
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