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Certificate of Merger/Consolidation (New Jersey)

This form is a certificate of merger or consolidation of a profitable corporation in New Jersey. The form provided here is simply a sample of what the actual Form UMC-2 looks like.

UMC-2 3/96

Department of the Treasury
Division of Revenue

Certificate of Merger/Consolidation (Profit Corporation)

This form may be used to record the merger or consolidation of a corporation with or into another business entity or entities, pursuant to NJSA 14A. Applicants must insure strict compliance with the requirements of State law and insure that all filing requirements are met. This form is intended to simplify filing with the Treasurer. Applicants are advised to seek out private legal advice before submitting filings to the Department of the Treasury, Division of Revenue's office.

1. Type of Filing (check one): ____ Merger ____ Consolidation

2. Name Of Surviving Business Entity: _______________________

3. Name(s)/Jurisdiction(s) Of Each Participating Business Entity:

Name _______________________

Jurisdiction _______________________

Identification # Assigned by Treasurer (If Applicable)

_______________________

4. Voting: (all corporations involved; attach additional sheets if necessary)

-a Corp. Name _______________________

Outstanding Shares _______________________

If applicable, set forth the number and designation of any class or series of shares entitled to vote.

-b Corp. Name _______________________

Outstanding Shares _______________________

If applicable, set forth the number and designation of any class or series of shares entitled to vote.

-c Corp. Name _______________________

Outstanding Shares _______________________

If applicable, set forth the number and designation of any class or series of shares entitled to vote.

Corp. a Votes For _______________________

Votes Against _______________________

Corp. b Votes For _______________________

Votes Against _______________________

Corp. c Votes For _______________________

Votes Against _______________________

5. Service of Process Address (For use if the surviving business entity is not authorized or registered by the Treasurer's Office):

Street _______________________

City _______________________

State _______________________

Zip Code _______________________

The Treasurer is hereby appointed as agent to accept service of process and to forward same to the address above.

6. Effective Date: (if other than filing date; not to exceed 90 days from filing date)

_______________________

Signature: _______________________

Name _______________________

Title _______________________

Date _______________________

**Remember to attach: 1) the plan of merger or consolidation; and 2) if the surviving or resulting business is not a registered or authorized domestic or foreign corporation, insure that you obtain and attach to your filing submission a Tax Clearance Certificate for each participating corporation.

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