
CORPORATION, LIMITED LIABILITY COMPANY, OR LIMITED LIABILITY
PARTNERSHIP ASSUMPTION OF TAX LIABILITY
The Assumption of Tax Liability
of (1) __________________________________________________________ )
)
______________________________________________________________ ) ________________________
)
by (2) _________________________________________________________ )
)
______________________________________________________________ ) ________________________
A corporation
A corporation, limited liability company, or limited liability partnership
California Corporation number, Secretary of
State file number, or federal employer
identification number
California Corporation number, Secretary of
State file number, or federal employer
identification number
(Name of assumer) __________________________________________________ unconditionally
agrees to file with the Franchise Tax Board all tax returns and data required and pay in full all tax
liabilities, penalties, interest and fees of (1) _________________________________________
_________________________________________________________________________________; at the
effective date of dissolution or surrender of the corporation.
(2) _________________________________________
_______________________________________ _________________________________________
State of _______________________________
County of _____________________________
On ________________________________________ before me, the undersigned, a notary public in and for
said state, personally appeared_______________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s)
whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the
instrument the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature ________________________________________________________
Name __________________________________________________________
Note: LLC, LLP, and corporation assumers must provide a financial statement.
FTB 3555 C1 (REV 09-2001) PAGE 4
Exact corporation, limited liability company, or limited liability partnership name
Signature and title of officer/manager/partner/member
(typed or printed)
Printed name and title of officer/manager/partner/member