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File Business Dissolution

Contact Information

First Name*

Last Name*

Address*

City*

State*

State / Province / Territory*

Zip Code*

Zip / Postal Code*

Country*

Phone Number*

Business Information

Business Name*

Address*

City*

State*

State / Province / Territory*

Zip Code*

Zip / Postal Code*

Country*

Entity Type*

State of Formation*

Business Entity Number*

Dissolution Details

Reason for Dissolution*

Effective Dissolution Date*

Outstanding Obligations*

YesNo

Do you need IRS EIN closure assistance?*

YesNo

Create Online Account

Email*

Password*

Confirm Password*

Authorization

By submitting this form, I confirm that the information provided is accurate and complete. I authorize Prime Registered Agent to use this information to prepare and file the necessary documents. I understand this submission does not constitute legal or tax advice.

I acknowledge that I am responsible for ensuring the accuracy of the information provided and for any applicable state fees unless otherwise agreed in writing.

Price

File Business Dissolution $99.00

Total Due Today: $99.00

Authorized Signer Name*

Title/Position*

Signature / Electronic Agreement*

I authorize Prime Registered Agent to file the dissolution on behalf of my business.

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