Certificate Of Withdrawal To Transact Business In State Of Nebraska (Foreign Non Profit Corp) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Certificate Of Withdrawal To Transact Business In State Of Nebraska (Foreign Non Profit Corp) Form. This is a Nebraska form and can be use in Corporation Secretary Of State.
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
CERTIFICATE OF WITHDRAWAL
Calendar No.
TO TRANSACT
:
JUDICIAL SUBPOENA
Plaintiff(s)
BUSINESS IN THE STATE OF NEBRASKA
-against:
NON-PROFIT CORPORATIONS
:
John A. Gale, Secretary of State
Room 1301 State Capitol, P.O.: Box 94608
Lincoln, NE 68509
Defendant(s)
:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . http://www.sos.state.ne.us
.......................
Submit in Duplicate
THE PEOPLE OF THE(returnedOF NEW YORK is your certificate of withdrawal)
STATE file stamped copy
_____________________________________________________________________
TO
Name of Corporation
Incorporated under the laws of_____________________________desires to withdraw its
GREETINGS: transact business in the State of Nebraska.
authority to
WE COMMAND YOU, transacting business in the State of Nebraska and surrenders
This corporation is no longerthat all business and excuses being laid aside, you and each of you attend before
,
the Honorable to transact business in the State of Nebraska. Court
at the
its authority
located at
County of
in room
, on the
day of
,
, at
o'clock in the
noon, and at any
This corporation revokes the authority of its 20
registered agent to accept servi ce of process recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
on its behalf and consents that service of process in any proceeding during the time it was
authorized to transact business in the state may be made on this corporation at the following
address:
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena against corporation may be served:$50 and all damages sustained as a
Mailing Address at which process was issued for a maximum penalty of
result of your failure to comply.
_____________________________________________________________________
Witness, Honorable
Street Address
Court in
County,
the
State , one of Zip Justices of the
City
day of
, 20
DATED_______________________
(Attorney must sign above and type name below)
________________________________
Signature
________________________________
Attorney(s) for
Printed Name/Title
NOTE: Every filing must be signed by the chairperson of the board of directors, the president, or one of the officers
of the corporation. If the corporation has not yet been formed or directors have not yet been selected, the filing shall
be signed by an incorporator. If the corporation is in the hands of a receiver, trustee, or other court appointed
Office and P.O. Address
fiduciary, the filing shall be signed by that fiduciary.
FILING FEE: $10.00
Revised 12/19/2000
Telephone No.:
Facsimile No.:
Neb.
E-Mail Address: Rev. Stat. 21-19,156
Mobile Tel. No.:
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