FILING FEE: $100.00
APPLICATION FOR WITHDRAWAL
FOREIGN LIMITED LIABILITY COMPANY
TO: OKLAHOMA SECRETARY OF STATE
2300 N Lincoln Blvd., Room 101, State Capitol Building
Oklahoma City, Oklahoma 73105-4897
The undersigned, for the purpose of surrendering its authority to transact business in the state of Oklahoma
pursuant to Title 18, Section 2047, does hereby execute the following application:
The name of the limited liability company:
If different, the name under which it transacted business in the state of Oklahoma:
The state or other jurisdiction of its formation:
Such foreign limited liability company is not transacting business in Oklahoma.
Such foreign limited liability company surrenders its certificate of registration to transact business in
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.
The address to which a person may mail a copy of any process against such foreign limited liability
The application for withdrawal shall be executed by a manager, a member, or other person.
Type or Print Name
(List title, if applicable)
(SOS FORM 0084-10/98)