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Withdrawal of Stay, and Withdrawal of Rules. Filing Form for Stay of Effective Date on Rules,.Form SS-7041 applies for filing a stay of effective date of rules, a withdrawal of a rule, or a withdrawal of a stay. The SS-7041 is available at sos.tn. IMPORTANT NOTICE - This is a request to withdraw your application. Not all forms are listed. You must keep records so that you can prepare a complete and accurate income tax return. The law doesn't require any special form of records. Skip lines 58 through 61. • Complete the bottom of Form 40 below line 61. HEADING.