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PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS Return document by mail to: Statement of Termination Domestic Corporation Name DSC:151902/5902 Address City State
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How to fill out a statement of termination:

01
Gather all necessary information: Before filling out a statement of termination, gather all relevant information such as names, addresses, and dates. This will ensure accuracy and efficiency during the process.
02
Begin with the header: At the top of the statement, include a header with your personal information, including your name, address, and contact details. This will help identify the statement and ensure it reaches the intended recipient.
03
State the purpose: Clearly state the purpose of the statement of termination. Whether it is to terminate a contract, employment, or a lease agreement, be specific and concise so that there is no confusion.
04
Include relevant details: Provide all necessary details related to the termination. This may include the names of parties involved, the date of termination, and any relevant contract or agreement numbers. Be as specific as possible to avoid any misunderstandings.
05
Provide a termination clause: If there is a specific termination clause in the contract or agreement, include it in the statement. This will help support your legal position if required and ensure compliance with the terms of the agreement.
06
Outline any outstanding obligations: If there are any outstanding obligations or responsibilities that need to be addressed before the termination is finalized, include them in the statement. This may include returning company property, settling outstanding payments, or fulfilling any remaining contractual duties.
07
Sign and date the statement: Once all the necessary information has been included, sign and date the statement. This signifies your agreement with the contents and serves as proof of your intention to terminate the contract or agreement.

Who needs a statement of termination:

01
Employees: Employees who want to terminate their employment or have been terminated by their employer may need to fill out a statement of termination. This document ensures clarity and provides a record of the termination for both parties.
02
Landlords and tenants: When terminating a lease agreement, both landlords and tenants may need to complete a statement of termination. This document outlines the terms and conditions of the termination, protecting the rights and responsibilities of both parties.
03
Business partners or contractors: Business partners or contractors who wish to terminate their partnership or contractual agreement may also require a statement of termination. This document helps formalize the termination and serves as a reference for any legal or financial obligations.
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Statement of termination is a legal document that officially declares the end of a business entity.
The business owner or authorized representative is required to file the statement of termination.
The statement of termination can be filled out by providing the necessary information about the business entity, reason for termination, and any other required details.
The purpose of the statement of termination is to inform relevant authorities and stakeholders about the closure of a business entity.
The information that must be reported on the statement of termination includes details about the business entity, reason for termination, and any outstanding obligations.
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