Application For Withdrawal {0084}

APPLICATION FOR WITHDRAWAL (Foreign Limited Liability Company) Filing Fee: $100.00 TO: OKLAHOMA SECRETARY OF STATE OKLAHOMA SECRETARY OF STATE 2300 N Lincoln Blvd., Room 101, State Capitol 421 N.W. 13th, Suite 210 Oklahoma City, Oklahoma 73105-4897 Oklahoma City, Oklahoma 73103 (405) 522-2520 (405) 522-2520 I hereby execute the following articles for the purpose of surrendering the foreign limited liability company's authority to transact business in the state of Oklahoma pursuant to the provisions of Title 18, Section 2047: 1. Name of the limited liability company: 2. If different, the fictitious name which the company transacts business under in the state of Oklahoma: 3. State or other jurisdiction of its formation: 4. Such foreign limited liability company is not transacting business in Oklahoma. 5. Such foreign limited liability company surrenders its certificate of registration to transact business in Oklahoma. 6. Such foreign limited liability company revokes the authority of its registered agent for service of process in this state and consents that service of process in any action, suit, or proceeding based upon any cause of action arising in this state during the time the foreign limited liability company was authorized to transact business in Oklahoma may thereafter be made on such foreign limited liability company by service thereof upon the Office of the Secretary of State. 7. Address to which a person may mail a copy of any process against such foreign limited liability company: Street Address City State Zip Code The application for withdrawal shall be executed by a manager, member, or other person. Signature: Printed Name: (SOS FORM 0084-07/12) American LegalNet, Inc. www.FormsWorkFlow.com Dated: