"Certificate of Conversion From a Delaware Limited Liability Company to a Non-delaware Entity" - Delaware

Certificate of Conversion From a Delaware Limited Liability Company to a Non-delaware Entity is a legal document that was released by the Delaware Department of State - a government authority operating within Delaware.

Form Details:

  • Released on September 1, 2005;
  • The latest edition currently provided by the Delaware Department of 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 Delaware Department of State.

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Download "Certificate of Conversion From a Delaware Limited Liability Company to a Non-delaware Entity" - Delaware

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Delaware Division of Corporations
401 Federal Street – Suite 4
Dover, DE 19901
Phone: 302-739-3073
Fax: 302-739-3812
Certificate of Conversion from a
Delaware Limited Liability Company
to a Non-Delaware Entity
Dear Sir or Madam:
Enclosed please find a form for a Certificate of Conversion from a Delaware
Limited Liability Company to a Non-Delaware Entity. The fee to file the Certificate of
Conversion is $120.00. You will receive a certified copy of your document. Expedited
services are available please contact our office concerning these fees. Delaware entities
converting to any other non-Delaware entity must also pay all applicable taxes. Please
contact our Franchise Tax Department for assistance. Please make any check payable to
“Delaware Secretary of State”.
In order to process your request in a timely manner, please include a cover letter
with your name, address and telephone/fax number to enable us to contact you if
necessary.
For your convenience a cover sheet is available at the following
link:
http://corp.delaware.gov/filingmemo.pdf.
Please make sure you thoroughly complete
all information requested on these forms. It is important that the execution be legible, we
request that you print or type your name under the signature line.
Thank you for choosing Delaware as your corporate home. Should you require
further assistance in this or any other matter, please don’t hesitate to call us at (302) 739-
3073.
Sincerely,
Department of State
Division of Corporations
Rev 09/05
Delaware Division of Corporations
401 Federal Street – Suite 4
Dover, DE 19901
Phone: 302-739-3073
Fax: 302-739-3812
Certificate of Conversion from a
Delaware Limited Liability Company
to a Non-Delaware Entity
Dear Sir or Madam:
Enclosed please find a form for a Certificate of Conversion from a Delaware
Limited Liability Company to a Non-Delaware Entity. The fee to file the Certificate of
Conversion is $120.00. You will receive a certified copy of your document. Expedited
services are available please contact our office concerning these fees. Delaware entities
converting to any other non-Delaware entity must also pay all applicable taxes. Please
contact our Franchise Tax Department for assistance. Please make any check payable to
“Delaware Secretary of State”.
In order to process your request in a timely manner, please include a cover letter
with your name, address and telephone/fax number to enable us to contact you if
necessary.
For your convenience a cover sheet is available at the following
link:
http://corp.delaware.gov/filingmemo.pdf.
Please make sure you thoroughly complete
all information requested on these forms. It is important that the execution be legible, we
request that you print or type your name under the signature line.
Thank you for choosing Delaware as your corporate home. Should you require
further assistance in this or any other matter, please don’t hesitate to call us at (302) 739-
3073.
Sincerely,
Department of State
Division of Corporations
Rev 09/05
STATE OF DELAWARE
CERTIFICATE OF CONVERSION
FROM A DELAWARE LIMITED LIABILITY COMPANY
TO A NON-DELAWARE ENTITY
PURSUANT TO SECTION 18-216 OF
THE LIMITED LIABILITY COMPANY ACT
1.) The name of the Limited Liability Company is ____________________________
________________________________________________________________.
(If changed, the name under which it’s certificate of formation was originally
filed: _______________________________________________________________)
2.) The date of filing of its original certificate of formation with the Secretary of
State is _______________________________________________________________.
3.) The jurisdiction in which the business form, to which the limited liability company
shall be converted, is organized, formed or created is ___________________________.
4.) The conversion has been approved in accordance with this section;
5.) The limited liability company may be served with process in the State of Delaware in
any action, suit or proceeding for enforcement of any obligation of the limited liability
company arising while it was a limited liability company of the State of Delaware, and
that it irrevocably appoints the Secretary of State as its agent to accept service of process
in any such action, suit or proceeding.
6.) The address to which a copy of the process shall be mailed to by the Secretary of State
is
In Witness Whereof, the undersigned have executed this Certificate of Conversion on this
________ day of ________________, A.D. ______________.
By: _________________________
Authorized Person
Name: _________________________
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