Fillable Printable Ftb 3557 Bc - Franchise Tax Board - State Of California
Fillable Printable Ftb 3557 Bc - Franchise Tax Board - State Of California
Ftb 3557 Bc - Franchise Tax Board - State Of California
FTB 3557 BC (REV 03-2015)
Before the California Franchise Tax Board
In the matter of the application for certificate of revivor of:
Entity Name:
Address:
I request relief from suspension or forfeiture for this entity. I previously submitted or I am enclosing all required
payments, returns, or documents.
Print Name
_____________________________________ Title ________________________________
Signature
______________________________________ Date ________________________________
Daytime Phone Number
___________________________
Those who can sign this application on behalf of an entity (domestic or foreign) include:
•
Any stockholder, creditor, member, general partner, or officer.
• Any person having an interest in relief from suspension or forfeiture.
Domestic entities can also have a majority of the surviving trustees or directors sign on their behalf.
Entity Number:
FEIN:
SOS Number:
STATE OF CALIFORNIA
FRANCHISE T AX BOARD
PO BOX 942857
SACRAMENTO CA 94257-0511
Application for Certificate of Revivor – Corporation
Notice Date:
355747071371
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