Michigan Sercetary of State Termination of Assumed Name Form
In the case of a business entity wanting to terminate an assumed name that they used in the State of Michigan, the Michigan Secretary of State Termination of Assumed Name Form has to be completed and submitted along with a $25 filing fee for limited liability companies and $10 for other types of business entities.
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CSCL/CD-543 (Rev. 02/13) MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS CORPORATIONS, SECURITIES & COMMERCIAL LICENSING BUREAU Date Received (FOR BUREAU USE ONLY) This document is effective on the date filed, unless a subsequent effective date within 90 days after received date is stated in the document. EFFECTIVE DATE: Name Address City State ZIP Code Document will be returned to the name and address you enter above. If left blank, document will be returned to the registered office. CERTIFICATE OF TERMINATION OF ASSUMED NAME For use by Corporations, Limited Partnerships and Limited Liability Companies (Please read information and instructions on the last page) Pursuant to the provisions of Act 284, Public Acts of 1972 (profit corporations), or Act 162, Public Acts of 1982 (nonprofit corporations), Act 213, Public Acts of 1982 (limited partnerships), or Act 23, Public Acts of 1993 (limited liability companies), the undersigned execute the following Certificate: 1. The name of the corporation, limited partnership, or limited liability company is: 2. The identification number assigned by the Bureau is: 3. The assumed name to be terminated is: 5. This document is hereby signed as required by the Act. Signed this day of , By (Signature) (Limited Partnerships Only - Indicate Name of General Partner, if the General Partner is a corporation or other entity) (Type or Print Name) (Type or Print Title or Capacity) 4. The Certificate of Assumed Name filed on the day of , is hereby terminated. CSCL/CD-543 (Rev. 02/13) Preparer's Name Business telephone number ( ) Submit with check or money order by mail: Michigan Department of Licensing and Regulatory Affairs Corporations, Securities & Commercial Licensing Bureau Corporation Division P.O. Box 30054 Lansing, MI 48909To submit in person: 2501 Woodlake Circle Okemos, MI Telephone: (517) 241-6470 Fees may be paid by check, money order, VISA or Mastercard when delivered in person to our office. MICH-ELF (Michigan Electronic Filing System): First Time Users: Call (517) 241-6470, or visit our website at http://www.michigan.gov/corporations Customer with MICH-ELF Filer Account: Send document to (517) 636-6437INFORMATION AND INSTRUCTIONS 1. This form may be used to draft your Certificate of Termination of Assumed Name. A document required or permitted to be filed under the act cannot be filed unless it contains the minimum information required by the act. The format provided contains only the minimal information required to make the document fileable and may not meet your needs. This is a legal document and agency staff cannot provide legal advice. 2. Submit one original of this document. Upon filing, the document will be added to the records of the Corporations, Securities & Commercial Licensing Bureau. The original will be returned to your registered office address unless you enter a different address in the box on the front of this document. Since this document will be maintained on electronic format, it is important that the filing be legible. Documents with poor black and white contrast, or otherwise illegible, will be rejected. LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities. 4. Item 1 - The name is the name contained in the original, amended, or restated Articles of Incorporation, Certificate of Limited Partnership, or Articles of Organization. The name of a foreign corporation, limited partnership, or limited liability company, is that name under which it obtained its authority to transact business or conduct affairs in Michigan. 3. This Certificate is to be used by a corporation, limited partnership, or limited liability company for the purpose of terminating an assumed name. 5. Item 2 - Enter the identification number assigned by the Bureau. If this number is unknown, leave it blank. 6. The Certificate must be signed by: CORPORATIONS: an authorized officer or agent. LIMITED PARTNERSHIPS: a general partner. DOMESTIC LIMITED LIABILITY COMPANIES: a manager, if managed by one or more managers, a member if management remains in the members, or an authorized agent of the company. FOREIGN LIMITED LIABILITY COMPANIES: a person with authority to do so under the laws of the jurisdiction of its organization. 7. NONREFUNDABLE FEES: Make remittance payable to the State of Michigan. Include name and identification number on check or money order. CORPORATION OR LIMITED PARTNERSHIP.......................................... LIMITED LIABILITY COMPANY.................................................................$10.00 $25.00 Optional expedited service. Expedited review and filing, if fileable, is available for all documents for profit corporations, limited liability companies, limited partnerships and nonprofit corporations. The nonrefundable expedited service fee is in addition to the regular fees applicable to the specific document. Please complete a separate CSCL/CD-272 form for expedited service for each document submitted in person, by mail or MICH-ELF. 24-hour service - $50 for formation documents and applications for certificate of authority. 24-hour service - $100 for any document concerning an existing entity. Same day service Same day - $100 for formation documents and applications for certificate of authority. Same day - $200 for any document concerning an existing entity. Review completed on day of receipt. Document and request for same day expedited service must be received by 1 p.m. EST OR EDT. Two hour - $500 Review completed within two hours on day of receipt. Document and request for two hour expedited service must be received by 3 p.m. EST OR EDT. One hour - $1000 Review completed within one hour on day of receipt. Document and request for 1 hour expedited service must be received by 4 p.m. EST OR EDT. First time MICH-ELF user requesting expedited service must obtain a MICH-ELF filer number prior to submitting a document for expedited service. CSCL/CD-901. Changes to information on MICH-ELF user's account must be submitted before requesting expedited service. CSCL/CD-901. Documents submitted by mail are delivered to a remote location for receipts processing and are then forwarded to the Corporation Division for review. Day of receipt for mailed expedited service requests is the day the Corporation Division receives the request. Rev. 2/13
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