Last updated: 4/13/2015
Application For Tax Clearance For Dissolution-Withdrawal
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Description
325 Don Gaspar, Suite 300 Santa Fe, NM 87501 (800) 477-3632 www.sos.state.nm.us SECRETARY OF STATE APPLICATION FOR TAX CLEARANCE FOR DISSOLUTION/WITHDRAWAL ** INFORMATION MUST BE LEGIBLE ** DATE: RE: (PRINT EXACT CORPORATE NAME AS REGISTERED WITH OUR OFFICE) TAXATION AND REVENUE ID #: NM CORP #: SUBJECT: TAX CLEARANCE REQUEST FOR DISSOLUTION/WITHDRAWAL THIS CORPORATION IS IN THE PROCESS OF DISSOLVING/WITHDRAWING FROM THE STATE OF NEW MEXICO AND IS REQUESTING TAX CLEARANCE. FINAL DAY OF BUSINESS: Month Day Year NOTE: THE CORPORATION CANNOT BE ISSUED A TAX CLEARANCE FOR A FUTURE DATE OR IF IT IS DELINQUENT IN FILING REPORTS AND/OR PAYING FEES DUE. ALSO, A FINAL REPORT MAY BE REQUIRED THROUGHT THE FINAL DAY OF BUSINESS. YOU WILL BE ADVISED ACCORDINGLY. SIGNATURE OF OFFICER OR AUTHORIZED AGENT NAME: ADDRESS: CITY: TELEPHONE: MAIL TO: SECRETARY OF STATE TAX COMPLIANCE DIVISION 325 DON GASPAR, SUITE 300 SANTA FE, NEW MEXICO 87501 (800) 477-3632 American LegalNet, Inc. www.FormsWorkFlow.com STATE: ZIP: