Legal Reinstatement Application

LEGAL REINSTATEMENT APPLICATION

This Legal Reinstatement Application is submitted by Applicant Name: for the purpose of requesting reinstatement of the entity/status identified below to active standing with Reinstating Authority Name: pursuant to the terms set forth herein.

RECITALS

WHEREAS, the Applicant is an entity currently registered under the name Entity Name: and was administratively dissolved, revoked, cancelled or otherwise made inactive on Date of Administrative Action: (the "Administrative Action").

WHEREAS, the Applicant asserts eligibility for reinstatement and seeks restoration of all rights, privileges, and authority that existed prior to the Administrative Action, subject to the conditions and certifications set forth in this Application.

WHEREAS, the Reinstating Authority has authority to accept, condition, or deny reinstatement applications and to impose any required fees, filings, or corrective measures necessary to effect reinstatement.

NOW, THEREFORE

In consideration of the mutual covenants and the Reinstating Authority's review of this Application, the Applicant submits the following statements, certifications, and requests:

1. IDENTIFICATION

Corporation Limited Liability Company Partnership Other:

2. ELIGIBILITY AND ATTACHMENTS

The Applicant certifies that all of the following required documents are submitted with this Application (check applicable items and attach):

Delinquent annual reports or filings required by the Reinstating Authority
Payment or arrangements for payment of outstanding taxes, penalties, or interest
Certifications of good standing or other required third-party documents
Other attachments:

3. FEES AND REMITTANCE

Applicant submits payment or a payment arrangement for the reinstatement fee and any assessed penalties. Amount submitted: $. Payment method:

4. CERTIFICATIONS AND REPRESENTATIONS

The Applicant hereby certifies, under penalty of law, that the statements made in this Application and any accompanying documents are true, complete, and correct to the best of the Applicant's knowledge and belief. The Applicant further represents that it will comply with all conditions the Reinstating Authority imposes as prerequisite to reinstatement.

5. EFFECT OF REINSTATEMENT

Upon acceptance by the Reinstating Authority, reinstatement shall restore the Applicant to the status and rights held immediately prior to the Administrative Action, except that any actions taken by third parties in reliance upon the Administrative Action shall be governed by applicable law. Reinstatement does not retroactively nullify liabilities incurred during the period of inactivity unless expressly provided by the Reinstating Authority in writing.

6. REMEDIES AND ADMINISTRATIVE ACTIONS

The Reinstating Authority retains the right to deny reinstatement, impose conditions, require additional documentation, or take any remedial administrative action permitted by law. Applicant acknowledges that additional penalties, fees, or corrective measures may be imposed as a condition of reinstatement.

7. NOTICES

All notices in connection with this Application shall be sent to the Applicant's designated contact below unless otherwise directed by the Reinstating Authority.

8. AMENDMENTS; WAIVER; COUNTERPARTS

This Application may be amended in writing by the Applicant with the consent of the Reinstating Authority where required. No waiver of any provision will be effective unless in writing and signed by the party against whom enforcement is sought. This Application may be executed in counterparts, each of which shall be deemed an original.

9. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

This Application and any reinstatement granted pursuant to it shall be governed by the laws applicable to the Reinstating Authority's jurisdiction. This Application constitutes the entire agreement between the Applicant and the Reinstating Authority with respect to the subject matter hereof. If any provision is found to be invalid or unenforceable, such provision shall be severed and the remaining provisions shall remain in full force and effect.

10. DECLARATION

The undersigned declares under penalty of perjury that the information contained in this Application and the accompanying documentation is true, accurate and complete. Applicant agrees to submit any additional documentation reasonably requested by the Reinstating Authority to complete its review.

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