APPLICATION FOR WITHDRAWAL 
                                            (Foreign Limited Liability Company) 
                                                                      
                                                             Filing Fee: $100.00 
  TO: OKLAHOMA SECRETARY OF STATE 
      421 NW 13th St, Suite #210 
      Oklahoma City, OK 73103 
      (405) 522-2520 
  
       I hereby execute the following articles for the purpose of surrendering a 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: 
  
                         Address                             City                  State             Zip Code 
  
The application for withdrawal shall be executed by a manager, member, or other person. 
 
  •   Signature:                                                                                                       Dated:                                                      
 
  •   Printed Name:                                                                                                                                                          
                                                                                                                                                                                        
                                                                                             (SOS FORM 0084-07/20) 

                              Oklahoma Secretary of State 
                              Request to receive 
                              documents electronically 

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Receipt will read as follows: 

PERSONAL or BUSINESS NAME: 

MAILING ADDRESS: 

CITY, STATE & ZIP CODE: 

PHONE OR CELL: 

EMAIL ADDRESS: 

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