FTB 3557 BC Application For Certificate Of Revivor Corporation 3557BC

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STATE OF CALIFORNIA
FRANCHISE TAX BOARD
PO BOX 942857
SACRAMENTO CA 94257-0511

Notice Date:

Entity Number:

Application for Certificate of Revivor – Corporation

FEIN:
SOS Number:

Before the California Franchise Tax Board
In the matter of the application for certificate of revivor of:
Entity Name:
Address:

I request relief from suspension or forfeiture for this entity. I previously submitted or I am enclosing all required
payments, returns, or documents.
Print Name ______________________________________

Title _________________________________

Signature _______________________________________

Date _________________________________

Daytime Phone Number ____________________________
Those who can sign this application on behalf of an entity (domestic or foreign) include:
• Any stockholder, creditor, member, general partner, or officer.
• Any person having an interest in relief from suspension or forfeiture.
Domestic entities can also have a majority of the surviving trustees or directors sign on their behalf.

FTB 3557 BC (REV 03-2015)

355747071371



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Title                           : FTB 3557 BC - Application for Certificate of Revivor - Corporation
Description                     : Application for Certificate of Revivor - Corporation
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