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Global Documents

 
 
For Office Use Only 
 
Wyoming Secretary of State 
 
State Capitol Building, Room 110 
 
 
200 West 24th Street 
 
Cheyenne, WY 82002-0020 
 
Ph. 307.777.7311 
 
Fax 307.777.5339 
 
Email: business@state.wy.us  
 
LLC-IntentDissolve - Revised 12/2008 
 
Limited Liability Company 
Statement of Intent to Dissolve 
 
All members of: 
 
 
 
a limited liability company, agree to dissolve the company due to the following reason(s): 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Date:  
 
 
 
 
 
Signature: ___________________________________________ 
(mm/dd/yyyy) 
 
 
 
 
 
(Shall be executed by a member, manager, or other authorized individual as  
set forth in the operating agreement.) 
 
 
 
 
 
 
 
 
Print Name: 
 
Title: 
 
Contact Person: 
 
Daytime Phone Number: 
 
 
 
 
 
 
 
 
 
 
Checklist 
          Filing Fee: $50.00   Make check or money order payable to Wyoming Secretary of State. 
          Please submit one originally signed document and one exact photocopy of the filing. 
          Please review form prior to submitting to the Secretary of State to ensure all areas have been 
          completed to avoid a delay in the processing of your documents. 
          Reminder: Articles of Dissolution must be filed in order to complete the dissolution process. 
