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                                 CERTIFICATE OF WITHDRAWAL 
                                                  (Foreign Corporation)

                                                  Filing Fee: $100.00 
TO: OKLAHOMA SECRETARY OF STATE 
  421 NW 13th St, Suite #210 
  Oklahoma City, OK 73103 
  (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 an authorized officer of the corporation. 

Signed this                    day of                                              ,                by: 

                 Signature 

          Printed Name and Title 

                                                                                                       (SOS FORM 0017-09/20) 



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                              Oklahoma Secretary of State 
                              Request to receive 
                              documents electronically 

No need to wait on your filed documents to be mailed back to you.  If you would like your filed 
documents returned electronically, please complete and attach this form to your documents. 
Complete ALL information below to receive an email which will contain a link to retrieve your 
filed documents.  (Please print or type clearly.) 

Return filed documents electronically 

Receipt will read as follows: 

PERSONAL or BUSINESS NAME: 

MAILING ADDRESS: 

CITY, STATE & ZIP CODE: 

PHONE OR CELL: 

EMAIL ADDRESS: 

(It is critical that the email address is correct, or you may not receive the notification of filing) 






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