Statement Of Dissolution Sample PDF Details

Have you ever had to dissolve a company? It's not an easy process, but fortunately there is a Statement of Dissolution Sample Form to help make things a little bit easier. This form can be used to provide all the necessary information to dissolve your company in a professional and timely manner. Make sure to read through the instructions carefully so that you know exactly what needs to be done. By following the steps outlined in this document, you'll be able to successfully close your business without any issues.

The table features details about the statement of dissolution sample. There, you will obtain the information regarding the form you want to fill in, which includes the likely time for you to fill it out and also other details.

Form NameStatement Of Dissolution Sample
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namesdissolution of business form, statement of dissolution sample, statement of dissolution example, letter of dissolution template

Form Preview Example



Robert B. Evnen, Secretary of State

P.O. Box 94608

Lincoln, NE 68509

Name of Limited Liability Company ___________________________________________


The above-named Limited Liability Company is dissolved.

The company shall discharge the company’s debts, obligations, or other liabilities, settle and close the company’s activities, and marshal and distribute the assets of the company.

Effective date if other than the date filed ____________________.

Date _________________________________



Signature of Authorized Representative




Printed Name of Authorized Representative

FILING FEE: $30.00 (In-Office) / $25.00 (Online)

Revised 07/01/2021

Neb. Rev. Stat. 21-148

How to Edit Statement Of Dissolution Sample Online for Free

We were designing the PDF editor with the notion of making it as simple to use as possible. This is why the process of managing the dissolution statement will undoubtedly be smooth as you go through the next steps:

Step 1: Look for the button "Get Form Here" on the following webpage and hit it.

Step 2: As soon as you've entered the editing page dissolution statement, you should be able to see all of the options available for your form inside the upper menu.

The PDF template you wish to prepare will cover the following areas:

statement of dissolution example fields to fill in

Provide the required information in the Signature of Authorized, and Printed Name of Authorized area.

Finishing statement of dissolution example part 2

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