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Complete and include this form with your paper submission. A refund for the certificate can be requested within 15 days after certificate issuance.A Delaware Certificate of Cancellation is a legal document you will submit to the state of Delaware when you wish to formally dissolve your LLC. Complete and file the Certificate of Cancellation with the Department of State. 00 and you will receive a stamped "Filed" copy of your submitted document. Section 18-801 of the Delaware Limited Liability Company Act explains how a Delaware LLC can complete the process of dissolution. Do not list the registered agent in Alaska. Full Legal Name: Entity or Individual. Not be more than 90 days after the date on which the certificate is filed. 3. CERTIFICATE OF CANCEL​LATION (Complete only 1, 3, 4, 5, 6, 7).