"Certificate of Conversion From a Delaware Corporation to a Non-delaware Entity" - Delaware

Certificate of Conversion From a Delaware Corporation 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 Corporation 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 Corporation
to a Non-Delaware Entity
Dear Sir or Madam:
Enclosed please find a form for a Certificate of Conversion from a Delaware
Corporation to a Non-Delaware Entity. The fee to file the Certificate of Conversion is
$179.00 for a 1 page document. Please add $9.00 for each additional page. 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 Corporation
to a Non-Delaware Entity
Dear Sir or Madam:
Enclosed please find a form for a Certificate of Conversion from a Delaware
Corporation to a Non-Delaware Entity. The fee to file the Certificate of Conversion is
$179.00 for a 1 page document. Please add $9.00 for each additional page. 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 CORPORATION
TO A NON-DELAWARE ENTITY
PURSUANT SECTION 266 OF THE
GENERAL CORPORATION LAW
1.) The name of the Corporation is _______________________________________
________________________________________.
(If changed, the name under which it’s certificate of incorporation was originally filed
was _______________________________________________________________.)
2.) The date of filing of its original certificate of incorporation with the Secretary of
State is __________________________________________.
3.) The
jurisdiction
to
which
the
corporation
shall
convert
to
is
______________________ and the name under which the entity shall be known as is
____________________________________________________________________.
4.) The conversion has been approved in accordance with this section;
5.) The corporation may be served with process in the State of Delaware in any
action, suit or proceeding for enforcement of any obligation of the corporation arising
while it was a corporation 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 Officer
Name: _________________________
Print or Type Name and Title
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