Alabama Foreign LLC Certificate of Withdrawal Form

To apply for the termination of a foreign LLC, the official representative must fulfill this form and submit it to the office of Alabama’s Secretary of State. Specifically, the form must be sent to this address: Secretary of State, Business Services, P.O. Box 5616, Montgomery, Alabama, 36103-5616.

Extracted Text for Proper Search

STATE OF ALABAMA 
 
FOREIGN  LIMITED LIABILITY COMPANY (LLC)  
CERTIFICATE  OF  WITHDRAWAL  
Foreign LLC Withdrawal - 1/2011   Page 1  of  3  
 
PURPOSE:  In order to withdraw (terminate/cancel) the registration 
of a Foreign Limited Liability Company (hereinafter “foreign entity”) 
to transact business in Alabama,  the entity must deliver to the 
Secretary of State for filing a Certificate of Withdrawal along with a 
Certificate of Compliance obtained from the Alabama Department of 
Revenue (ADOR) - see item #7 and attached sample - pursuant to 
Section 10A-1-7.11,  Code of Alabama 1975	
.   
 
INSTRUCTIONS:  Mail or fax two (2) signed originals of this 
completed Certificate of Withdrawal, the Certificate of Compliance 
from ADOR, and the filing fee of $100.00 (credit card, check, or 
money order) to the  Secretary of State, Business Services,            	
(For SOS Office Use Onl
y)	
P.O. Box 5616, Montgomery, Alabama, 36103-5616  or fax to 
334-240-3138 .  
  This form must be typed or laser printed. 	
 under the Government Records tab.  Click on Business Entity Records, click on Entity 
Name, enter the registered name of the entity in the appr opriate box, and enter.  The six (6) digit number containing 
a dash to the left of the name is the entity ID number.   If you click on that number, you can check the details page to 
make certain that you have the correct entity –  this verification step is strongly recommended	
.

FOREIGN LIMITED LIABILITY COMPANY (LLC)   
CERTIFICATE  OF  WITHDRAWAL  
Foreign LLC Withdrawal - 1/2011         Page 2  of  3   
   
 	
            	 
Date       Typed or Printed Na me and Title of Signature Below 
 
  
 
               
 
      Signature of Person Authorized to Sign per 10A-1-4.01,  Alabama Code

If you wish to pay by credit card:     
 
 
Card Type:     	
(Visa, MC, Discover & AmEx) 
 
 
Service Requested (check all that apply):              	
$100.00 filing Certificate of Withdrawal   
 
       
$100.00 expedited processing (within 24 business hours) 
  
 
 
Card Number:         	
  
 
 
Expiration Mo/Yr:   	
/  	  (MM/YY) 
 
 
Card Holder Name:            	
 
 
 
Complete Billing Address:           
 
     	
Street or PO                       
 
 
             	
 
 City      State    Zip    
 	
 
 
 
Signature of Card Holder:           	
 
      	
MUST be Signature of Card Holder 	
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Page 3  of  4  

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