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00 and you will receive a stamped "Filed" copy of your submitted document. Complete and include this form with your paper submission.This information only will be used to communicate in writing about the submission, if needed. This Certificate of Cancellation is only for a Foreign Limited Liability Company. Once filed, the entity will be placed into a. Instructions for Filing. Complete and file the Certificate of Withdrawal with the Department of State. Application for a Certificate of Cancellation to Cancel a Certificate of Registration to. Limited Liability Company - Foreign. Application for a Certificate of Cancellation to Cancel a Certificate of Registration to.