Form 612 PDF Details

Form 612 is a little-known form that can be used to request tax information from the IRS. It can be used to request information about yourself, your spouse, or any other person for whom you are legally responsible. The form can be used to obtain a variety of information, including Social Security numbers, income amounts, and filing status. You can use Form 612 to request information for past years or for recent tax years. Whether you are preparing your own return or need information for someone else, Form 612 can be a valuable resource.

Listed below are some facts you might like to read before you start using the form 612.

Form NameForm 612
Form Length4 pages
Fillable fields0
Avg. time to fill out1 min
Other namessos form 612, submitter, statutorily, form 612 texas

Form Preview Example

Form 612—General Information (Termination of Registration)

The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code provisions. This form and the information provided are not substitutes for the advice and services of an attorney and tax specialist.


When a foreign filing entity has ceased to exist in its jurisdiction of formation, the entity should terminate its registration in Texas. Section 9.011 of the BOC requires the submission of a certificate from the jurisdiction of the entity’s formation that evidences the cessation of the entity’s existence. This form has been promulgated to facilitate the submission and filing of the termination of registration.

This form has been drafted to comply with the Texas Business Organizations Code (BOC) and prior law regarding termination of registration. There are not substantive differences in the filing of the termination of registration under prior law and under the BOC. Consequently, instructions for the form only make statutory references to the BOC.

Instructions for Form

·Entity Information: The termination of registration should contain the legal name of the entity, the date of registration and file number assigned by the secretary of state to facilitate processing of the document.

·Termination of Existence: This statement affirmatively declares that the existence of the foreign filing entity has ceased and that the entity is terminating its registration to transact business in Texas. If the entity continues to exist in its jurisdiction of formation and is no longer transacting business in Texas, the entity should file a voluntary withdrawal of registration (Form 608) rather than this form.

·Certificate Evidencing Termination: A certificate evidencing termination in its jurisdiction of formation should be attached. The authorized governmental official in that jurisdiction should issue the certificate. For entities formed under the laws of another state of the United States, the authorized governmental official is generally the secretary of state of that jurisdiction. The certificate can be either 1) a certificate certifying to the fact that the entity has ceased to exist or 2) a certified copy of the document that was filed in the jurisdiction of formation to terminate the existence of the entity. A reproduction or facsimile copy of the certificate is sufficient for filing with this office.

·Effectiveness of Filing: A termination of registration becomes effective when filed by the secretary of state (option A). However, pursuant to sections 4.052 and 4.053 of the BOC the effectiveness of the instrument may be delayed to a date not more than ninety (90) days from the date the instrument is signed (option B). The effectiveness of the instrument also may be delayed on the occurrence of a

future event or fact, other than the passage of time (option C). If option C is selected, you must state the manner in which the event or fact will cause the instrument to take effect and the date of the 90th day after the date the instrument is signed. In order for the certificate to take effect under option C, the entity must, within ninety (90) days of the filing of the certificate, file a statement with the secretary of state regarding the event or fact pursuant to section 4.055 of the BOC.

Form 612


On the filing of a document with a delayed effective date or condition, the computer records of the secretary of state will be changed to show the filing of the document, the date of the filing, and the future date on which the document will be effective or evidence that the effectiveness was conditioned on the occurrence of a future event or fact. In addition, at the time of such filing, the status of the filing entity will be shown as “terminated” on the records of the secretary of state.

·Execution: The termination of registration should be signed by a person authorized to act on behalf of the entity in regard to the filing instrument. Generally, a governing person or managerial official of the entity signs a filing instrument.

The termination of registration need not be notarized. However, before signing, please read the statements on this form carefully. A person commits an offense under section 4.008 of the BOC if the person signs or directs the filing of a filing instrument the person knows is materially false with the intent that the instrument be delivered to the secretary of state for filing. The offense is a Class A misdemeanor unless the person’s intent is to harm or defraud another, in which case the offense is a state jail felony.

Payment and Delivery Instructions: The filing fee for a termination of registration is $15, unless the foreign filing entity is a nonprofit corporation or cooperative association. The filing fee for a termination of registration for a nonprofit corporation or cooperative association is $5. Fees may be paid by personal checks, money orders, LegalEase debit cards, or American Express, Discover, MasterCard, and Visa credit cards. Checks or money orders must be payable through a U.S. bank or financial institution and made payable to the secretary of state. Fees paid by credit card are subject to a statutorily authorized convenience fee of 2.7 percent of the total fees.

Submit the completed form in duplicate along with the filing fee. The form may be mailed to P.O. Box 13697, Austin, Texas 78711-3697; faxed to (512) 463-5709; or delivered to the James Earl Rudder Office Building, 1019 Brazos, Austin, Texas 78701. If a document is transmitted by fax, credit card information must accompany the transmission (Form 807). On filing the document, the secretary of state will return the appropriate evidence of filing to the submitter together with a file- stamped copy of the document, if a duplicate copy was provided as instructed.

Revised 05/11

Form 612


Form 612 (Revised 05/11)

Return in duplicate to: Secretary of State P.O. Box 13697 Austin, TX 78711-3697

512463-5555 FAX: 512 463-5709

Filing Fee: See instructions

This space reserved for office use.

Termination of Registration

Entity Information

The name of the foreign filing entity as registered in this state is:

The date of registration of the foreign filing entity is:

The file number issued to the entity by the secretary of state is:

Termination of Existence

The existence or separate existence of the foreign filing entity has terminated because of dissolution, termination, merger, conversion, or other circumstances. The entity files this evidence of its termination with the secretary of state in order to terminate the registration of the entity in Texas.

Certificate Evidencing Termination

Attached hereto is a certificate from an authorized governmental official of the entity’s jurisdiction of formation evidencing the termination of the entity’s existence or separate existence.

Effectiveness of Filing (Select either A, B, or C.)



This document becomes effective when the document is filed by the secretary of state.

This document becomes effective at a later date, which is not more than ninety (90) days from

the date of signing. The delayed effective date is:


This document takes effect upon the occurrence of the future event or fact, other than the

passage of time. The 90th day after the date of signing is:

The following event or fact will cause the document to take effect in the manner described below:

Form 612



The undersigned signs this document subject to the penalties imposed by law for the submission of a materially false or fraudulent instrument.


Signature and title of authorized person(s) (see instructions)

Form 612


How to Edit Form 612 Online for Free

The tx sos form 612 filling in course of action is quick. Our editor allows you to work with any PDF document.

Step 1: Initially, select the orange button "Get Form Now".

Step 2: As soon as you have accessed your tx sos form 612 edit page, you'll discover all actions you may undertake with regards to your template at the upper menu.

You will have to type in the next data if you need to create the template:

filling out form 612 texas part 1

Write down the details in This document becomes effective, This document becomes effective at, B the date of signing The delayed, This document takes effect upon, C passage of time The th day after, and Form.

Finishing form 612 texas part 2

Indicate the main details in Date, and Signature and title of authorized box.

Filling out form 612 texas part 3

Step 3: Hit the "Done" button. Finally, it is possible to transfer your PDF file - save it to your device or send it by means of electronic mail.

Step 4: Make copies of your document. It will protect you from future problems. We don't view or publish your details, thus be certain it is secure.

Watch Form 612 Video Instruction

Please rate Form 612

1 Votes
If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .