Delaware Division of Corporations 
                          401 Federal Street – Suite 4 
                                Dover, DE 19901 
                                Ph: 302-739-3073 
                                 
                                                 Certificate of Revival of Charter 
                                                       for a Voided Corporation 
                                                                                                   
Dear Sir or Madam:  
 
       Enclosed please find a form for a Certificate of Revival of Charter for a voided 
corporation to be filed in accordance with Section 312 of the General Corporation Law of the 
State of Delaware.  The fee to file the Certificate is $169.00.  If your document is more than 1 
page please, include $9.00 for each additional page. You will receive a stamped “Filed” copy 
of your submitted document. A certified copy may be requested for an additional $50. 
Expedited services are available.  Please contact our office concerning these fees or you may 
consult our fee chart at www.corp.delaware.gov.  Please make your checks payable to 
“Delaware Secretary of State”. 
        
       Before the Certificate can be filed, all taxes due  to  the State at the time the 
corporation became void must be paid and all applicable Annual Franchise Tax Reports must 
be filed. The Annual Franchise Tax Reports and Franchise Taxes must be filed and paid 
online at www.corp.delaware.gov.  Please contact the Franchise Tax Section  with any 
questions.   
 
       For the convenience of processing your order in a timely manner, please include a 
cover letter with your name, address and telephone/fax number to enable us to contact you if 
necessary. Please make sure you thoroughly complete all information requested on this form. 
It is important that the execution be legible, we request that you print or type the name of the 
person signing under the signature line. 
         
       Thank you for choosing Delaware as your corporate home. Should you require 
further assistance in this or any other matter, please don’t hesitate to call at (302) 739-3073.  
 
                                              Sincerely,  
 
                                              Department of State  
                                              Division of Corporations 
 encl. 
 rev. 08/16 

Special Instructions – Revival for Void 
 
This form is to be used as a Template only. The following 
instructions will help you in correctly completing your Revival 
Certificate. The instructions will be numbered to correspond with 
the article it is referencing. 
 
 1.  The current name of the corporation exactly as it appears in 
    our records.  Please visit our website to verify the name and 
    to check for name availability.   If the corporation was 
    originally incorporated under a different name, the original 
    name of the corporation must be included in Article 1.  
 2.  List the complete name and address, including county, of the 
    Delaware registered agent you are appointing to accept 
    service of process for the corporation. 
 3.  The date when the corporation was originally formed. 
 4.  A statement that the corporation desiring to be revived was 
    organized under the laws of the State of Delaware. 
 5. The actual day the corporation was voided for non-payment 
    of Franchise Taxes and/or failure to file a complete Annual 
    Report. 
  
 Execution Block - The document must be signed by an 
    authorized officer of the corporation pursuant to Section 103 
    of Title 8.  The name of the person must be typed or written 
    legibly underneath the signature. 
 
This form contains information required by statute; if you need to 
add additional information permitted by statute you may draft a 
new document.  Please feel free to call our office at 302-739-3073 
for assistance in completing this form. 
 
Sincerely, 
 
Delaware Division of Corporations 

      STATE OF DELAWARE 
     CERTIFICATE FOR REVIVAL OF CHARTER 
 
The corporation organized under the laws of the State of Delaware, the charter of which 
was voided for non-payment of taxes and/or for failure to file a complete annual report, 
now desires to procure a revival of its charter pursuant to Section 312 of the General 
Corporation Law of the State of Delaware, and hereby certifies as follows: 
 
1.   The name of the corporation is ________________________________________ 
_______________________________________________________________________ 
and, if different, the name under which the corporation was originally incorporated          
_______________________________________________________________________.                                               
 
2.   The Registered Office of the corporation in the State of Delaware is located at 
_________________________________________________________________(street), 
in the City of  _____________________________,County of_____________________ 
Zip Code_________________.  The name of the Registered Agent at such address upon 
whom process against this Corporation may be served is __________________________ 
_______________________________________________________________________. 
      
3.   The date of filing of the Corporation’s original Certificate of Incorporation in 
Delaware was ___________________________________________________________. 
 
4.   The  corporation desiring to be revived and so reviving its certificate of 
incorporation was organized under the laws of this State. 
    
5.   The corporation was duly organized and carried on the business authorized by its 
charter until the__________ day of ________________ A.D. ________, at which time its 
charter became inoperative and void for non-payment of taxes and/or failure to file a 
complete annual report and the certificate for revival is filed by authority of the duly 
elected directors of the corporation in accordance with the laws of the State of Delaware. 
    
      By:____________________________________ 
      Authorized Officer 
                                                           
      Name:____________________________________ 
      Print or Type