Amendment/Withdrawal--Foreign Limited Liability Company (Oregon)
This is to amend or withdraw a foreign limited liability company in Oregon. The form provided here is simply a sample of what the actual Form CR158 looks like.
CR158
Phone: (503) 986-2200
Fax: (503) 378-4381
Secretary of State
Corporation Division
255 Capitol St. NE, Suite 151
Salem, OR 97310-1327
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For office use only
Registry Number: ________________________________
Check the appropriate box below:
____ AMENDMENT TO APPLICATION FOR AUTHORITY (Complete only 1, 2, 3, 9, 10)
____ WITHDRAWAL OF AUTHORITY TO TRANSACT BUSINESS (Complete only 1, 4, 5, 6, 7, 8, 9, 10)
Attach Additional Sheet if Necessary
Please Type or Print Legibly in Black Ink
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Amendment/Withdrawal--Foreign Limited Liability Company
Amendment to Application Only
1) Name (Must contain the words "Limited Liability Company" or the abbreviations "LLC" or "L.L.C."
___________________________________
AMENDMENT TO APPLICATION FOR AUTHORITY ONLY
2) Initial Registration Date of Application ________________________
3) Amendment (The amendment to the application for registration of foreign limited liability company is as follows. Only the company name or duration can be amended. Attach a separate sheet if necessary.)
___________________________________
___________________________________
___________________________________
Withdrawal of Authority Only
4) State or Country of Organization ___________________________________
5) Surrender of Authority
____ This foreign limited liability company is not transacting business in Oregon, and surrenders its authority to transact business in Oregon.
6) Revocation of Agent's Authority
____ This foreign limited liability company revokes the authority of its register service on its behalf and appoints the Secretary of State as its agent for service of process in any proceeding based on a cause of action arising during the time it was authorized to transact business in Oregon.
7) MAILING ADDRESS (The address to which the person initiating any proceeding may mail to this Corporation a copy of any process served on the Secretary of State.)
Address ____________________________________
City ____________________________________
State ____________________________________
Zip ____________________________________
9) Execution
Printed Name ____________________________________
Signature ____________________________________
Title ____________________________________
10) Contact Name ____________________________________
Daytime Phone Number--Including Area Code ________________________
FEES
Please make check for $10 payable to "Corporation Division."
NOTE: Filing fees may be paid with VISA or MasterCard. The card number and expiration date should be submitted on a separate sheet for your protection.