SECRETARY OF THE STATE OF CONNECTICUT MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470 DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106 PHONE: 860-509-6003 WEBSITE: www.concord-sots.ct.gov CERTIFICATE OF CANCELLATION DOMESTIC STATUTORY TRUST USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY. FILING PARTY (CONFIRMATION WILL BE SENT TO THIS ADDRESS): NAME: ADDRESS: FOR OFFICIAL USE ONLY: CITY: STATE: ZIP: 1. NAME OF STATUTORY TRUST: 2. THE DATE OF FILING OF THE ORIGINAL CERTIFICATE OF TRUST: 3. THE REASON FOR FILING THE CERTIFICATE OF CANCELLATION: 4. EXECUTION - REQUIRED: (SUBJECT TO PENALTY OF FALSE STATEMENT) DATED THIS NAME OF SIGNATORY DAY OF CAPACITY/TITLE OF SIGNATORY , 20 SIGNATURE PAGE 1 OF 1 FORM STC-1-1.0 Rev. 7/2015 American LegalNet, Inc. www.FormsWorkFlow.com