COVER LETTER 
 
TO:  Registration Section 
     Division of Corporations 
 
SUBJECT:                                                                                                                 
                                                   (Name of Limited Liability Company) 
                                                            
DOCUMENT NUMBER:                                                                                                         
 
The enclosed Resolution of the members, managers, or other authorized persons to Withdraw the Alternate 
name for use in Florida and fee are submitted for filing. 
 
Please return all correspondence concerning this matter to the following: 
 
                    (Name of Contact Person) 
 
                             (Firm/Company)  
 
                               (Address)  
 
                     (City/State and Zip Code) 
 
For further information concerning this matter, please call: 
 
                                                    at (     )                                  
        (Name of Contact Person)                         (Area Code)   (Daytime Telephone Number) 
 
Enclosed is a check made payable to the Florida Department of State for the following amount:   
 
☐$25.00 Filing Fee       ☐$30.00 Filing Fee &             ☐$55.00 Filing Fee &               ☐$60.00 Filing Fee, 
                          Certificate of Status           Certified Copy                     Certificate of Status &                            
                                                                    (Additional copy is enclosed)      Certified Copy                           
                                                                                                                (Additional copy is enclosed)  
                                                            
     Mailing Address:                                        Street Address: 
     Registration Section                                    Registration Section 
     Division of Corporations                                Division of Corporations 
     P.O. Box 6327                                           The Centre of Tallahassee 
     Tallahassee, FL 32314                                   2415 N. Monroe Street, Suite 810 
                                                             Tallahassee, FL 32303 
      
CR2E128 (2/14) 

                                RESOLUTION TO WITHDRAW  
                 ALTERNATE NAME IN THE STATE OF 
                                 FLORIDA PURSUANT TO  

                  605.0906 (1), FLORIDA STATUTES 
 
 I, the undersigned, do hereby certify that I am the Authorized Person of 
  
                                                                           , a limited liability 
                 (Name of Limited Liability Company) 
 
 company duly organized and existing under the laws of                                        . 
                                                         (State or Country of Organization)  
                                                          
 Because the name of this foreign limited liability company now satisfies the requirements of s. 605.0112, 
 Florida Statutes, the limited liability company hereby renounces the following 
 alternate name in the state of Florida: 
 
                  (Alternate Name Renounced in State of Florida) 
 
 Signature of Authorized Person                                           Date 
 
                Make check payable to Florida Department of State and mail to: 
                                         Registration Section 
                                         Division of Corporations 
                                          P.O. Box 6327 
                                         Tallahassee, FL 32314 
 
CR2E128 (2/14)