Application for Reinstatement

APPLICATION FOR REINSTATEMENT
(TYPE OR PRINT LEGIBLY)
FEES: Profit $200.00 Nonprofit $25.00 Limited Liability Company $25.00
Pursuant to New Mexico State Statutes the undersigned applies to
the New Mexico Secretary of State for Reinstatement:
1. The name of the entity is
Entity#
Month
Day
_and the effective date the Certificate of Revocation was filed:
Year
2. (Mark (“X”) on the appropriate item):
____ Grounds for revocation did not exist;
(If applicable, please explain)
Grounds have been eliminated upon the filing of delinquent reports and/or fees due.
3. The name satisfies state law regarding availability of corporate name.
Date:
_______________________
NAME:
ADDRESS:
CITY:
ST:
AUTHORIZED OFFICER
(SIGNATURE)
ZIP CODE:
EMAIL ADDRESS: ______________________________________
PHONE NUMBER: _____________________________________
Once the Application for Reinstatement has been received and approved, you will be contacted via email or the phone number
above and advised of the reports needing to be filed to complete the Reinstatement process and return to Active Status and in
Good Standing. NOTE until all outstanding reports have been filed and fees paid, the entity will remain in Revoked Status.
SOS-TCRI
01/2016
check #
check date
check amount $

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