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Get Form L 109

Ificate of Formation of a Limited Liability Company on file with the Division of Revenue. Applicants must insure strict compliance with NJSA 42, the New Jersey Limited Liability Act, and insure that all applicable filing requirements are met. 1. Name of Limited Liability Company: 2. Business Entity Number: 3. Date of formation: 4. State of Formation (foreign entities only) 5. Future effective date of cancellation (see instructions): 6. Reasons for canceling the LLC: The undersigned represent(s).

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