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Get GA Form CD 555 2019-2024

Kemp Secretary Of State Application For Withdrawal of Certificate of Authority Organization Type check one only Corporation Limited Liability Company Limited Partnership a Entity Control No. Entity Name Home State/Country State/Country in which entity was formed The entity selected in item 1 and named in item 2 no longer transacts business in Georgia and surrenders its certificate of authority. CORPORATIONS DIVISION Suite 313 West Tower 2 Martin Luther King Jr. Dr. Atlanta GA 30334-1530 404 656-2817 Brian P. The entity revokes the authority of its registered agent to accept service of process on its behalf and appoints the Secretary of State of Georgia as its agent for service in any proceeding based on a cause of action that arose during the time it was authorized to transact business in Georgia* Any process served on the entitiy after withdrawal from Georgia may be mailed to the following address The withdrawing entity commits that it will notify the Secretary of State of any changes in the mailing address provided in item 6. Signature Printed name of signer Title of Person signing above Check one only LLC LP LLP Attorney in fact Officer Receiver or Trustee Member Manager Receiver or Trustee General Partner Receiver or Trustee Entities must have a status of Active Compliance or Active/Owes Current Year in order to withdraw. If entity status is Active/Non Compliance the annual registration must be submitted before withdrawal* The annual registration may be filed online. There is no filing fee requirement for this form* Please mail completed application to the address provided at the top of this form* Certificate of withdrawal will be emailed to the address provided below. The entity revokes the authority of its registered agent to accept service of process on its behalf and appoints the Secretary of State of Georgia as its agent for service in any proceeding based on a cause of action that arose during the time it was authorized to transact business in Georgia* Any process served on the entitiy after withdrawal from Georgia may be mailed to the following address The withdrawing entity commits that it will notify the Secretary of State of any changes in the mailing address provided in item 6. Signature Printed name of signer Title of Person signing above Check one only LLC LP LLP Attorney in fact Officer Receiver or Trustee Member Manager Receiver or Trustee General Partner Receiver or Trustee Entities must have a status of Active Compliance or Active/Owes Current Year in order to withdraw. Signature Printed name of signer Title of Person signing above Check one only LLC LP LLP Attorney in fact Officer Receiver or Trustee Member Manager Receiver or Trustee General Partner Receiver or Trustee Entities must have a status of Active Compliance or Active/Owes Current Year in order to withdraw. If entity status is Active/Non Compliance the annual registration must be submitted before withdrawal* The annual registration may be filed online. If entity status is Active/Non Compliance the annual registration must be submitted before withdrawal* The annual registration may be filed online. There is no filing fee requirement for this form* Please mail completed application to the address provided at the top of this form* Certificate of withdrawal will be emailed to the address provided below. .

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