APPLICATION FOR WITHDRAWAL 
                                                                       (Foreign Limited Liability Company) 
                                                                                         
                                                                                 Filing Fee: $100.00 
 TO: OKLAHOMA SECRETARY OF STATE 
    OKLAHOMA SECRETARY OF STATE
         4212300N.W.N Lincoln13th, SuiteBlvd.,210Room 101, State Capitol 
         OklahomaOklahomaCity,City,OklahomaOklahoma7310373105-4897  
         (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:                                                                                                       Dated:                                                     
 
  •      Printed Name:                                                                                                                                                          

                                                                                                       (SOS FORM 0084-07/12)