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Application for Ex Parte Temporary Custody Order Form K Affidavit of Mover In Compliance With La. C.C.P. Art. 3945B

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o	Filing fee	The filing fee for this document is 	$35.	
o	Payment	Please enclose a check or money order payable to the Secretary of State. Forms received 
without the appropriate fee will not be accepted for filing. Please do not send cash. 	NOTICE: 	 	
There is a $25 service fee for all checks returned by your financial institution. Also, to 
expedite processing, please do not use staples on your documents or to attach checks.	
o	Submission	If this form is submitted after the close of the entity’s tax year, the annual report and fee must 
be submitted along with or prior to cancellation. If the LLC has forfeited, it must reinstate before 
cancellation.	
k a n s a s	 s e c r e ta ry	 o f	 s tat e	
Kansas Limited Liability Company
Certificate of Cancellation
Instructions	
Kansas Office of the Secretary of State:
Memorial Hall, 1st Floor (785) 296-4564  
120 S.W. 10th Avenue   [email protected]
Topeka, KS 66612-1594 www.sos.ks.gov	
KC
53-02	
The following form 	must be complete	 and 	
accompanied by 	the correct filing fee	 or the 	
document will 	not	 be accepted for filing.	
Inst.	K.S.A. 17-7675Rev. 3/1/16 tc  	Please proceed to form.	
Save time and money by filing your forms 
online at 	www.sos.ks.gov	. There, you can 	
also stay up-to-date on your organization’s 
status, annual report due date, and contact 
addresses.

This form must be complete and accompanied by the correct filing fee or the document will not be accepted for filing.
1.  Business entity ID 	number:
Not Federal Employer ID Number (FEIN).	
2.  Name of company:	
Must match name on record with Secretary of State.	
3.  Reason for 	cancellation:	
4.  Effective date:	 	 A future effective date must be within 90 days of filing date	
o Upon filing	o Future effective date:	
Month	Day	Year	
5.  	 I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct, and 
that I have remitted the required fee.	
Signature of Authorized Person
X	
Month	Day	Year	
Name of Signer (Printed or Typed)	Phone Number	
1 / 1	K.S.A. 17-7675Rev. 3/1/16 tc  	
k a n s a s	 s e c r e ta ry	 o f	 s tat e	
Kansas Limited Liability Company 
Certificate of Cancellation	
Kansas Office of the Secretary of State:
Memorial Hall, 1st Floor  (785) 296-4564  
120 S.W. 10th Avenue   [email protected]
Topeka, KS 66612-1594 www.sos.ks.gov	
KC
53-02	
If the fiscal year end has passed, the annual 
report must be filed before the dissolution can 	
be filed.	
THIS SPACE FOR OFFICE USE ONLY.
Please review to ensure completion.
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