Fillable TO: Registration Section Division of Corporations (Florida Division of Corporations)

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TO: Registration Section Division of Corporations (Florida Division of Corporations)

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COVER LETTER
TO: Registration Section
Division of Corporations
SUBJECT:
DOCUMENT NUMBER:
The enclosed Notice of Limited Liability Company Dissolution and fee are submitted for filing.
Please return all correspondence concerning this matter to the following:
(Name of Contact Person)
(Firm/Company)
(Address)
(City/State and Zip Code)
For further information concerning this matter, please call:
at ( )
(Name of Contact Person) (Area Code) (Daytime Telephone Number)
Enclosed is a check for the following amount:
☐$25 Filing Fee ☐$30 Filing Fee & ☐$55 Filing Fee & ☐$60 Filing Fee,
Certificate of Status Certified Copy Certificate of Status & Certified
(Additional copy is enclosed) Copy (Additional copy
is enclosed)
Mailing Address: Street Address:
Registration Section Registration Section
Division of Corporations Division of Corporations
P.O. Box 6327 The Centre of Tallahassee
Tallahassee, FL 32314 2415 N. Monroe Street, Suite 810
Tallahassee, FL 32303
CR2E142 (2/14)
Notice of Limited Liability Company Dissolution
This notice is submitted by the dissolved limited liability company named below for resolution of payment of
unknown claims against this limited liability company as provided in s. 605.0712, F.S.
This "Notice of Limited Liability Company Dissolution" is optional and is not required when filing a voluntary
dissolution.
Name of Limited Liability Company:
Document number of Limited Liability Company is:
Date of dissolution was:
Description of information that must be included in a written claim:
Mailing address where claims can be sent: (Claims cannot be sent to the Division of Corporations)
A claim against the above named limited liability company will be barred unless a proceeding to enforce the claim is
commenced within 4 years after the filing of this notice.
Printed Name of the Person Filing Signature of the Person Filing
Fee: No charge if included with Articles of Dissolution. If filed separately $25.00
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TO: Registration Section Division of Corporations (Florida Division of Corporations)

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Completed 16 November 2021

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