Form Llc 4 7 – Fill Out and Use This PDF

Under Contact Person, type or print legibly the First Name, Last Name, Phone Number and Email.

Under Entity Information, type or print legibly the Entity Name, the Entity Number (if applicable) and Comments.

Limited Liability Company Name: enter the exact name of the LLC as it is recorded with the California Secretary of State.

Enter the exact 12-digit Entity (File) Number issued by the California Secretary of State.

California LLCs only: check the box if the vote to dissolve was made by the vote of all the members of the California Limited Liability Company.

If the box is not checked, a Certificate of Dissolution (Form LLC-3) must be filed prior to or together with the Certificate of Cancellation (California Corporations Code section 17707.08(a)).

Common mistake: Do not alter the Tax Liability Statement. The form prints: All final returns required under the California Revenue and Taxation Code have been or will be filed with the California Franchise Tax Board.

Common mistake: Do not alter the Cancellation Statement. For California Limited Liability Companies: Upon the effective date of the Certificate of Cancellation, except as provided in California Corporations Code Section 17707.06, the Limited Liability Company's registration is cancelled and its powers, rights, and privileges will cease in California.

For Out-of-State Limited Liability Companies: Upon the effective date of the Certificate of Cancellation, the Limited Liability Company's registration is cancelled and its right to conduct intrastate business will cease in California.

Common mistake: Read and sign in box 6. Do not use a computer generated signature.

By signing, you affirm under penalty of perjury that the information in the form is true and correct and that you are authorized by California law to sign.

Sign on a Signature line and enter the name on its Type or Print Name line.

There is no fee for filing a Certificate of Cancellation.

The Certified Copy Fee (Optional) is $5.00 (checked October 19, 2026).

To obtain a certified copy, include certification fees with your submission.

In-person submissions (excluding Statements of Information) have a $15 special handling fee; do not include it when submitting documents by mail (checked October 19, 2026).

Make all checks or money orders payable to the Secretary of State.

All correspondence related to your submission will be sent to the name and address on your check or money order.

For fastest service, file online at bizfileOnline.sos.ca.gov.

The cover sheet prints: Secretary of State Business Programs Division Business Entities, 1500 11th Street, Sacramento, CA 95814, and P.O. Box 944260, Sacramento, CA 94244-2600.