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CERTIFICATE OF WITHDRAWAL
(Foreign Corporation)
Filing Fee: $100.00
TO: OKLAHOMA SECRETARY OF STATE OKLAHOMA SECRETARY OF STATE
4212300N.W.N Lincoln13th, SuiteBlvd.,210Room 101, State Capitol
OklahomaOklahomaCity,City,OklahomaOklahoma73105-489773103
(405) 522-2520 (405) 522-2520
PLEASE NOTE:
In the event the corporation was dissolved in the jurisdiction of its incorporation, a copy of the certificate of dissolution issued
by the proper official of such jurisdiction MUST BE ATTACHED HERETO.
In the event the corporation was dissolved by a court order or decree, a copy of the order or decree, certified by the court clerk
or other official body, under the official seal of the court or official body or clerk thereof MUST BE ATTACHED HERETO.
I hereby execute the following articles for the purpose of surrendering a foreign corporation’s authority to transact
business in the state of Oklahoma pursuant to the provisions Title 18, Section 1135:
1. Name of the corporation:
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. The corporation hereby revokes the authority of its registered agent in Oklahoma to accept service of process and
consents that process against the corporation in any action, suit or proceeding, based upon any cause of action
arising in Oklahoma during the time the corporation was authorized to transact business in this state, may be served
upon the Oklahoma Secretary of State in the manner provided by law.
5. Address to which service of process against the corporation may be mailed:
Street Address City State Zip Code
The certificate of withdrawal must be signed by the president or vice president of said corporation
and attested to by its secretary or assistant secretary.
• Signed this day of , by:
Signature of President or Vice President
Attested to by:
Printed Name
Signature of Secretary or Assistant Secretary
Printed Name
(SOS FORM 0017-07/12)
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