California Business Entities Submission Cover Sheet & Dissolution Certificate
This document provides instructions and forms for submitting a Business Entities Submission Cover Sheet and a Short Form Dissolution Certificate for California Stock Corporations registered in California within the last 12 months.
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How do I fill this out?
To fill out this document, start by entering your personal and entity information. Ensure all required statements are accurate and true. If all statements are true, sign and date the form.

How to fill out the California Business Entities Submission Cover Sheet & Dissolution Certificate?
1
Enter your contact information under the Contact Person section.
2
Provide the entity name and number in the Entity Information section.
3
Check that all required statements (3a-3g) are accurate.
4
Select the appropriate dissolution authorization statement.
5
Sign and date the form under penalty of perjury.
Who needs the California Business Entities Submission Cover Sheet & Dissolution Certificate?
1
Business owners looking to dissolve their California Stock Corporation within 12 months of incorporation.
2
Corporations with no debts, liabilities, or shares issued.
3
Corporations that have not conducted any business since incorporation.
4
Entities ensuring all tax liabilities and returns are satisfied or assumed.
5
Entities needing to submit final documents to the California Secretary of State.
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1
Upload the PDF to PrintFriendly.
2
Use the PDF editor to fill in your personal and entity information.
3
Review all required statements and check the appropriate boxes.
4
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5
Save and download the edited PDF.

What are the instructions for submitting this form?
For online submissions visit bizfileOnline.sos.ca.gov. In-person submissions come with a $15 special handling fee, but mail submissions do not. Make checks or money orders payable to the Secretary of State, and send to Secretary of State, Business Programs Division, Business Entities, P.O. Box 944260, Sacramento, CA 94244-2600. For certified copies, include certification fees.
What are the important dates for this form in 2024 and 2025?
Ensure all documents are submitted promptly. Important processing dates for 2024 and 2025 can be found on the California Secretary of State's website.

What is the purpose of this form?
This form serves to facilitate the submission of a Business Entities Submission Cover Sheet and a Short Form Dissolution Certificate for California Stock Corporations. It includes all necessary fields and statements to ensure the dissolution process is accurate and compliant with state regulations. By providing clear instructions and required information, it helps streamline the dissolution filing process for business owners and entities.

Tell me about this form and its components and fields line-by-line.

- 1. Contact Person: First Name, Last Name, Phone Number, Email
- 2. Entity Information: Entity Name, Entity Number (if applicable)
- 3. Required Statements: Ensure the corporation meets all dissolution requirements
- 4. Dissolution Authorization: Select the applicable statement authorizing the dissolution
- 5. Signatures: Authorized individuals must sign and date under penalty of perjury
What happens if I fail to submit this form?
Failing to submit this form may result in continued liability for the corporation and its officers, including tax obligations and penalties.
- Continued Liability: Officers and the corporation may remain liable for debts and obligations.
- Tax Penalties: Unresolved tax liabilities may incur penalties and interest.
- Legal Consequences: Failure to dissolve properly may lead to legal complications.
How do I know when to use this form?

- 1. Dissolving within 12 Months: Apply for dissolution if incorporated within the last year.
- 2. No Business Conducted: Confirm no business activities since incorporation.
- 3. No Shares Issued: Ensure no shares have been issued or all payments refunded.
- 4. No Debts or Liabilities: Confirm no outstanding debts or liabilities exist.
- 5. Tax Compliance: Ensure all tax returns and liabilities are satisfied or assumed.
Frequently Asked Questions
How do I fill out the Business Entities Submission Cover Sheet?
Fill in your contact and entity information, ensure all required statements are accurate, and provide your signature.
Who needs this form?
This form is needed by business owners and entities dissolving a California Stock Corporation within 12 months of incorporation.
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What if I cannot truthfully check all required statements?
You must follow the normal dissolution process using the Certificate of Dissolution and, if applicable, the Certificate of Election to Wind Up and Dissolve.
Is there any fee for filing this form?
There is no fee for filing the Short Form Dissolution Certificate, but certification fees are optional.
What should I do if my corporation has debts or liabilities?
You may not use the Short Form Dissolution Certificate and must follow the normal dissolution process.
How do I obtain a certified copy of my submission?
Include certification fees with your submission to obtain a certified copy.
What is the processing time for submissions?
Processing times vary, with online submissions given priority. Check updated processing times on the official website.