Form C-03, Notice of Withdrawal of Statewide Cable Franchise, is the notice a North Carolina statewide cable franchise holder files with the Department of the Secretary of State (NCSOS) to withdraw cable service over a cable system in a specific area. An officer or general partner of the franchise holder signs it. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the Secretary of State publishes the original form and its filing instructions.
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What is C-03?
Form C-03, Notice of Withdrawal of Statewide Cable Franchise, is the North Carolina Department of the Secretary of State form that a statewide cable franchise holder submits under Section 66-352(d) of the General Statutes of North Carolina to withdraw cable service over a cable system in a specific area.
The form identifies the franchise holder by legal name and by the franchise number assigned by the Secretary of State. It gives the principal place of business, a contact person, and the effective date of the withdrawal. It ends with a signature block for an officer or general partner of the filing entity.
The form is not a general-purpose notice. It belongs to the filings made under Article 42 of Chapter 66 of the North Carolina General Statutes, and it is listed among the Secretary of State's cable television forms for franchises. The instructions say a form is not complete unless it also meets the other applicable filing requirements in Article 42 of Chapter 66 and Article 2 of Chapter 55D.
The form states that no filing fee applies. Signing it knowing it is false in any material respect, with intent that it be delivered to the Secretary of State for filing, is a Class 1 misdemeanor.
Who needs to file C-03?
The current holder of a statewide cable franchise in North Carolina files this notice when it wants to withdraw cable service over a cable system in a specific area. Line 1 asks for the legal name of the current franchise holder, and line 2 asks for the franchise number the Secretary of State assigned.
Who signs: a document filed under Chapter 66, Article 42 must be signed by an officer or general partner of the filing entity. That person states the entity's legal name, signs, and prints his or her name and title beneath the signature. The instructions allow a facsimile or an electronic signature in a form acceptable to the Secretary of State.
The form is not for anyone who is not a franchise holder, and it is not a general business withdrawal. It deals only with withdrawing cable service in a specific area under Section 66-352(d).
When to file C-03
File Form C-03 at least 90 days before the cable service is withdrawn. The instructions for line 8 say that, according to statute, the notice of withdrawal must be filed at least 90 days before the service is withdrawn, so the effective date you enter on line 8 must allow for that period.
A second deadline follows the filing. Within five days after you file the document with the Secretary of State, you must send a copy to any county or city included in the service area described in the document. You must also send one to the registered agent of any cable service provider that is providing cable service under an existing agreement in that service area (NCGS 66-354(a)).
The form prints no other filing window and no renewal cycle.
Documents you need
- Three exact or conformed copies of the completed notice, filed together with the original; the form's notes require the document and three copies to be filed with the Secretary of State.
How to fill out C-03
Enter the franchise holder's legal name
On line 1, enter the legal name of the current franchise holder, the entity filing the notice.
Enter the franchise number
On line 2, enter the franchise number assigned by the Secretary of State.
Give the principal place of business
On line 3, enter the complete street address of the principal place of business: number and street, then city, state and ZIP code.
Add a mailing address if different
On line 4, enter the complete mailing address of the principal place of business only if mail is not delivered to the street address on line 3.
Enter business phone and e-mail
On line 5, enter the principal place of business telephone number, including area code. On line 6, enter its e-mail address.
Name a contact person
On line 7, enter the name and title of the person the Department should contact with questions, plus that person's telephone number, fax number and e-mail.
Set the effective date of withdrawal
On line 8, enter the date the withdrawal takes effect. The notice must be filed at least 90 days before the service is withdrawn, so choose a date that allows for it.
Complete the date and entity name
In the signing block, fill in the day, month and year after "Signed, this the", and enter the legal name of the entity.
Sign and print officer details
An officer or general partner signs, then types or prints his or her name and title in the lines below the signature. A facsimile or electronic signature is allowed if acceptable to the Secretary of State.
Review, download and copy the notice
Check every line, then download or print the completed PDF from FillingPDF. Make three exact or conformed copies and assemble the package described under How to submit.
How to submit C-03
Form C-03 is filed with the Secretary of State by mail; the form names no other channel. After filing, you must also send copies to local governments and certain providers.
- By mail: send the notice and three exact or conformed copies of it to Corporations Division, Department of the Secretary of State, PO Box 29622, Raleigh, NC 27626-0622.
- Fee: the form states there is no filing fee.
- Copies after filing: within five days of filing, send a copy to each county or city in the service area described in the notice and to the registered agent of any cable service provider providing cable service under an existing agreement in that area.
Check that every line is completed and the notice is signed by an officer or general partner before you send it. FillingPDF lets you fill out and download the PDF; submission follows the Secretary of State's channels above.
Common mistakes to avoid
- Filing less than 90 days before the service is withdrawn; the instructions say the notice must be filed at least 90 days before withdrawal.
- Sending only the original notice instead of the document plus three exact or conformed copies.
- Not sending a copy to each county or city in the service area, and to the registered agent of any provider under an existing agreement, within five days after filing.
- Leaving a line blank; the instructions require all requested information to be completed, whether in a box or on a line.
- Having someone other than an officer or general partner of the filing entity sign the notice.
- Entering a franchise number that is not the one assigned by the Secretary of State on line 2.
- Mailing the notice to an address other than Corporations Division, PO Box 29622, Raleigh, NC 27626-0622.
- Signing the form with information the signer knows is false in a material respect, which the form says is a Class 1 misdemeanor.
Frequently asked questions
What is the Notice of Withdrawal of Statewide Cable Franchise?
It is Form C-03, issued by the North Carolina Department of the Secretary of State, which a statewide cable franchise holder files under Section 66-352(d) of the General Statutes to withdraw cable service over a cable system in a specific area.
How far in advance must I file a notice of withdrawal for a cable franchise?
At least 90 days before the service is withdrawn. The instructions for line 8 give this as the statutory requirement, so the effective date you enter must be at least 90 days after the notice is filed.
Is there a filing fee for Form C-03?
No. The notes on the form state that there is no filing fee. You still must file the document with three exact or conformed copies of the notice with the Secretary of State.
Where do I mail the Notice of Withdrawal (C-03)?
Mail it to Corporations Division, Department of the Secretary of State, PO Box 29622, Raleigh, NC 27626-0622. The form prints no other filing channel or street address.
Who can sign Form C-03?
An officer or general partner of the filing entity must sign it, and must also type or print his or her name and title. The instructions allow a facsimile or an electronic signature in a form acceptable to the Secretary of State.
Do I have to send copies of the notice to anyone after filing?
Yes. Within five days after filing, send a copy to any county or city in the described service area and to the registered agent of any cable service provider serving that area under an existing agreement (NCGS 66-354(a)).
Can I fill out the notice of withdrawal online?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is independent of the Secretary of State and does not file the notice; you mail it to the Corporations Division yourself.
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