NOTICE OF INTENT TO VOLUNTARILY DISSOLVE A …
NOTICE OF INTENT TO VOLUNTARILY DISSOLVE A CORPORATION
Notice is given that a notice of intent to dissolve
(Name of Corporation)
a Georgia corporation with its registered office at
(Address of Corporation)
will be delivered to the Secretary of State for filing in accordance with the Georgia Business Corporation Code.
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*instructions for this form are bolded*
We will mail a copy of the advertisement to the following location:
Name
Address
City/State/Zip
Phone No. (Not for Publication)
Would you like a certified affidavit to be mailed to you upon the completion of your ad? __________ (Y or N)
(Publication fee $40.00; additional fee of $20 for each affidavit requested within 30 days)
*****Complete form and return to The Champion Newspaper at P.O. Box 1347, Decatur, GA 30031-1347 with payment of money order. Or you may complete the below credit card information and fax the ad back to us at (404) 371-1359 or email the ad to legalads@.
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I, ___________________________ authorize The Champion Newspaper to charge my credit card account listed below, starting on the [month, day, year] and for each month following when advertising is published through [month, day, year] for the amount of advertising requested.
My account information is as follows:
Credit Card Name: ________________________________ Credit Card Type: □ VISA □ MasterCard □ American Express □Other
Credit Card Number: _______________________________________ Exp. Date: __________
Name on card: ________________________________
Customer Credit Card Billing Address: _______________________________ _______________________________________
Customer Name Printed _______________________________ Customer Signature ________________________________
Date_________________________________
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