TO: District Director Internal Revenue Service __________(1)____________ REVOCATION OF ELECTION UNDER INTERNAL REVENUE CODE SECTION 1362 Notice is hereby given, pursuant to Section 1362 of the Internal Revenue Code, that ___________(2)_____________, a ______(3)_______ corporation with offices at __________(4)______, hereby revokes its S corporation election, filed with you on _______(5)_________, 19__(6)_. The first taxable year for which this revocation is intended to be effective is the taxable year commencing _______(7)__________, 19_(8)_. Dated ___________(9)______________, 19_(10)_. ____________(11)_______________ BY:____________(12)____________ as President of the corporation SHAREHOLDERS' CONSENT TO REVOCATION OF ELECTION We, the undersigned, being more than one-half of the shareholders of __________(13)________ at the beginning of the day on which the revocation of S Corporation election to which this consent is attached was filed with the District Director of Internal Revenue at ________(14)___________, hereby consent to such revocation. Dated _________(15)___________, 19_(16)_.
Name and Address ________(17)_________ ________(20)_________ ________(23)_________
Number of Shares Owned ____(18)____ ____(21)____ ____(24)____
Signature _____(19)_____ _____(22)_____ _____(25)______
NOTICE The information in this document is designed to provide an outline that you can follow when formulating business or personal plans. Due to the variances of many local, city, county and state laws, we recommend that you seek professional legal counseling before entering into any contract or agreement.