Form L026.001 - Certificate Of Cancellation Of Foreign Llc Registration

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DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY.

CERTIFICATE OF CANCELLATION

OF FOREIGN LLC REGISTRATION

Read the Instructions

L026i

ENTITY NAME – give the exact name of the LLC as currently shown in A.C.C. records:

_______________________________________________________________________________

A.C.C. FILE NUMBER: ____________________________________________________________

Find the A.C.C. file number on the upper corner of filed documents OR on our website at:

A.C.C. AS AGENT FOR SERVICE OF PROCESS – This Certificate of Cancellation of Foreign LLC

Registration does not terminate the authority of the Arizona Corporation Commission to accept

service of process on behalf of the foreign limited liability company with respect to causes of

action arising out of the transaction of business in Arizona.

SIGNATURE:

By the signature appearing below, the foreign LLC named in number 1 above

hereby cancels its registration to transact business in the State of Arizona.

By checking the box marked "I accept" below, I acknowledge under penalty of

perjury that this document together with any attachments is submitted in

compliance with Arizona law.

I ACCEPT

Signature

Printed Name

Date

REQUIRED – check only one and fill in the corresponding blank if signing for an entity:

I am the individual Manager of this

I am a Member of this member-

I am a duly authorized

manager-managed LLC or I am

managed LLC or I am signing for an

agent for this LLC.

signing for an entity manager

entity member named:

named:

Filing Fee: $10.00 (regular processing)

Mail:

Arizona Corporation Commission - Corporate Filings Section

Expedited processing – add $35.00 to filing fee.

1300 W. Washington St., Phoenix, Arizona 85007

All fees are nonrefundable - see Instructions.

Fax:

602-542-4100

Please be advised that A.C.C. forms reflect only the minimum provisions required by statute. You should seek private legal counsel for those matters that may pertain

to the individual needs of your business.

All documents filed with the Arizona Corporation Commission are public record and are open for public inspection.

If you have questions after reading the Instructions, please call 602-542-3026 or (within Arizona only) 800-345-5819.

L026.001

Arizona Corporation Commission – Corporations Division

Rev: 2010

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