Kansas Business Trust Dissolution Form

In the case of a business trust that is registered in the State of Kansas wanting to terminate the registered legal entity in the state, the following form has to be completed and submitted along with a $35 filing fee.

Extracted Text for Proper Search

1.  If this form is submitted after the close of the entity’s tax yea\
r, an annual report and fee must be submitted along with  
 or prior to withdrawal.  If the entity has forfeited, it must reinstate before withdrawal.  
2.  Submit this form with the 	$35	 filing fee. 	
STAY UP-TO-DATE ON YOUR ORGANIZATION’S STATUS, ANNUAL REPORT DUE DATE AND CONTACT ADDRESSES BY GOING TO WWW.SOS.KS.GOV.  UNDER QUICK LINKS, SELECT SEARCH BUSINESS ENTITY INFORMATION. 
NOTICE: 	There is a $25 service fee for all checks returned by your financial institution.	 	All information must be completed or this document will not be accepted for filing.  	
Above space is for office use only.	
    _______________________________________	
CONTACT:	  Kansas Office of the Secretary of State	
Memorial Hall, 1st Floor
120 S.W. 10th Avenue
Topeka, KS 66612-1594	 	
(785) 296-4564
[email protected]
www.sos.ks.gov	
BR
53-04	
KANSAS SECRETARY OF STATE
Business Trust Resolution 
of Withdrawal	
INSTRUCTIONS:  	All information must be completed or this document will not be accepted for filing. 	 	
Please read instructions before completing.	i	
Page 1 of 1	
3.  The above-named business trust surrenders its authority to transact business in the state of Kansas and withdraws from the state of Kansas.  
1.  Business entity ID number:This is not the Federal Employer ID Number (FEIN)
2.  Name of business trust:Name must match the name on record with the Secretary of State	
K.S.A	.17-2037	Rev. 12/28/20 jdr
________________________________________________________    ____________\
__________________________________________	__     	  Signature of officer/trustee                                  Date (month, day, year)
________________________________________________________    	       	      Name of signer (printed or typed)                                  
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.  	  	
Instructions:	  	i	
4.  The undersigned is an officer or trustee of the business trust and he/she certifies that the foregoing resolution is a true and correct copy of the resolution adopted by the Board of T rustees and that he/she is authorized by the board to file this resolution with the Secretary of State.	
    ____________________________________________________________________\
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Save time and money by filing your withdrawal online at www.sos.ks.gov