Delaware Division of Corporations  
                               401 Federal Street – Suite 4  
                                     Dover, DE 19901  
                                     Ph: 302-739-3073  

                                                 of a Foreign Limited Liability Company 

 Dear Sir or Madam: 

       Enclosed is the Certificate of Cancellation of a Foreign Limited Liability 
 Company to be filed in accordance with the Limited Liability Company Act of the State 
 of Delaware. The fee to file the Certificate is $ 00.002and you will receive a stamped 
 “Filed” copy of your submitted document.  A certified copy may be requested for an 
 additional $50.  Expedited services are available.  Please contact our office concerning 
 these fees. 

       Please contact our Franchise Tax Section concerning any taxes due at the time of 
 cancellation.  A check for the tax payment and filing fee must accompany the Certificate 
 for filing. Please make your check payable to the “Delaware Secretary of State”. 

       For the convenience of processing your order in a timely manner, please include a 
 cover letter with your name, address and telephone/fax number to enable us to contact 
 you if necessary. Please make sure you thoroughly complete all information requested on 
 this form.  It is important that the execution be legible, we request that you print or type 
 your name under the signature line. 

       Thank you for choosing Delaware as your corporate home.  Should you require 
 further assistance in this or any other matter, please don’t hesitate to call us at (302) 739-
 3073.

                                                             S in c e r e ly ,

                                                             D e p a r tm e n t o f S ta e t   
         Division of Corporations 

 encl. 
 rev. 6/04 

            STATE OF DELAWARE 
  CERTIFICATE OF CANCELLATION OF REGISTRATION 
          of a foreign limited liability company 
        (*Insert the name the company is using in Delaware) 

 1.	   The name under which the foreign limited liability company is registered and is  
       doing business in the State of Delaware is *_______________________________
  _______________________________________________________________.** 
        (**If the company's true name in its home jurisdiction is different, add the 
       following:  "The name under which the foreign limited liability company was 
       formed is _________________________________________________________ 
  ________________________________________________________________.") 

  2. 	  The Certificate of Registration of the foreign limited liability company was duly 
       endorsed as filed by the Secretary of State of Delaware on 
  _________________________________________________________________. 

 3. 	   The effective date of cancellation, if different than the date of filing of this 
       Certificate with the Secretary of State, is 
  _________________________________________________________________. 

 4. 	   The authority of the Secretary of State to accept service of process for the foreign  
       limited liability company with respect to causes of action arising out of the 
       transaction of business in the State of Delaware survives the filing of this 
       Certificate and remains in effect. 

 5. 	   The address in the jurisdiction of organization of the foreign limited liability 
       company to which the Secretary of State can forward service of process is  

        IN WITNESS WHEREOF, the undersigned has executed this Certificate of 
 Cancellation this ________________ day of ________________, A.D. ______. 
                                                   By:________________________________ 
                                                    A u th o r iz e d P e (              r s o n s )
                                   Name:_____________________________ 
                                                       Print or Type