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To place an order for Dissolution, please complete and submit the following worksheet. Prices are as follows:

            $200.00 Corp
            $165.00 LLC
            $200.00 Surrender

In order to keep your credit card transaction secure, please contact our Corporate Department at: 518-463-4179 or Toll Free 800-828-4428 (NYS residents only) and supply us with your credit card information. If not paying by credit card, send Certified or Attorney Check with the applicable fee to:
Servico, Inc.
P.O. Box 871
Albany, N.Y. 12201

Name Of Corporation: (or entity)


Original Name: (if different from above name)


Date of Incorporation or Filing:


Reason for Dissolution:


Names and Addresses of All Officers and Directors: (or members)


Your Firm
Address
Your Name
Email
Your Phone
 Your Fax (if available)
How would you like to be contacted
Email
 Phone
 Fax




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