STATE OF ALABAMA FOREIGN CORPORATION (BUSINESS OR NON-PROFIT) CERTIFICATE OF WITHDRAWAL Foreign Corporation Withdrawal - 1/2019 Page 1 of 2 PURPOSE: In order to withdraw (terminate/cancel) the registration of a Foreign Corporation (hereinafter 223foreign entity224) to transact business in Alabama, the entity must deliver to the Secretary of State for filing a Certificate of Withdrawal along with a Certificate of Compliance obtained from the Alabama Department of Revenue (ADOR) - see item #7 and attached sample - pursuant to Section 10A-1-7.11, Code of Alabama 1975. INSTRUCTIONS: Mail two (2) completed Certificate of Withdrawal forms, the Certificate of Compliance from ADOR, and the filing fee of $100.00 for standard processing or $200.00 for expedited processing (within 24 hours after date of receipt). The application is only accepted via mail or courier and will not be accepted via email. Submit your credit card, check, or money order to the Secretary of State, Business Services, P. O. Box 5616, Montgomery, Alabama 36103. The withdrawal will not be processed if the credit card does not authorize and the filing will be removed from the index if the check is dishonored ($30 fee). All processing instructions are complete in this form and Payment Option Sheet; cover letters are not necessary and will not be reviewed. Using a credit card and our website, you may file the Withdrawal online in the time it takes to type this application. The information completing this form must be typed or the filing will be rejected without review. Emailed applications will not be acknowledged, reviewed, processed, or returned. 1. Alabama Entity ID Number (Format: 000-000): - INSTRUCTION TO OBTAIN ID NUMBER TO COMPLETE FORM: If you do not have this number immediately available (it is on the face of your original registration filing), you may obtain it on our website at www.sos.alabama.gov Business Services (below the picture), Business Entity Search, Search by Entity Name, enter the registered name of the entity in the appropriate box, and enter. The six (6) digit number containing a dash to the left of the name is the entity ID number. If you click on that number, you can check the details page to make certain that you have the correct entity 226 this verification step is strongly recommended. 2. The legal entity name of the foreign entity registered in Alabama: 3. Entity222s jurisdiction of formation: 4. Street (No PO Boxes) Address of principal office: Mailing Address (if different from street address) (For SOS Office Use Only) American LegalNet, Inc. www.FormsWorkFlow.com FOREIGN CORPORATION (BUSINESS OR NON-PROFIT) CERTIFICATE OF WITHDRAWAL Foreign Corporation Withdrawal - 1/2019 Page 2 of 2 5. The above named foreign entity hereby certifies that the entity is no longer transacting business in Alabama. 6. The above named foreign entity hereby certifies that any money due or accrued to the State of Alabama has been paid or that arrangements have been made for payment (attach copy of payment arrangements). 7. The original Certificate of Compliance from the Alabama Department of Revenue is attached. [To obtain Certificate; call ADOR/Commissioner222s Office at 334-242-1189 and request a document showing that all applicable taxes and fees due the State of Alabama have been paid.] 8. The above named foreign entity hereby revokes the authority of the entity222s registered agent in Alabama to accept service of process; and consents that service of process in any action, suit, or proceeding stating a cause of action arising in Alabama during the time the foreign entity was authorized to transact business may be made on the foreign entity in accordance with the Alabama Rules of Civil Procedure and any other service or demand required or permitted by law to be served on the entity may be served in a manner similar to the procedure provided for the service of process by the Alabama Rules of Civil Procedure. 9. The mailing address to which process may be mailed pursuant to the applicable service of process procedures of the Alabama Rules of Civil Procedure and to which any notice or demand required or permitted by law to be served on the entity may be mailed to: 10. The above named foreign entity hereby makes a commitment that if the mailing address stated above changes the foreign entity will promptly file an Address Amendment to this Certificate of Withdrawal Date Typed or Printed Name and Title of Signature Below Signature of Person Authorized to Sign per 10A-1-4.01, Alabama Code American LegalNet, Inc. www.FormsWorkFlow.com FOREIGN CORPORATION (BUSINESS OR NON-PROFIT) CERTIFICATE OF WITHDRAWAL Foreign Corporation Withdrawal - 1/2019 Secretary of State Payment Option Sheet: If you do not send an acknowledgement copy and a pre-addressed postage paid envelope with the filing, you will not receive a credit card or prepaid account receipt from the Secretary of State222s Office. Hold for pickup request 226 we do not offer a call for pick-up feature 226 acknowledgement copy will have the receipt attached. The document of record will be stamped showing the receipt of the filing fee and expedite fee but will not show convenience fees which will be charged; (generally these fees are between 2% and 5% of the total charge). Information MUST be typed or laser printed on a computer. Entity Name: Service Requested: $100.00 Withdrawal filing fee $100.00 Expedited Processing fee *(Processed with 24 hours after receipt of filing)* Hold at Front Desk for Pick-up for: (Service providers who run couriers for pick-up 226 we do not have a call for pick-up service) Check is attached - Please make one check payable for the total amount of the fees (i.e., $200 if you are requesting expedited service) to the Alabama Secretary of State. Charge fees to prepaid account: Account Number and Account Name Typed Name & Signature of Authorized Individual on Account Credit Card Type: (Visa, MC, Discover & AmEx) Card Number: Expiration Mo/Yr: / (MM/YY) Card Holder Name: Complete Billing Address: Street or PO City State Zip Signature of Card Holder: MUST be Signature of Card Holder American LegalNet, Inc. www.FormsWorkFlow.com ,CTNTHIAUNDENWOODAsdEtr* CmmlsdotrcrMICTIAEL E,IIAsONIreOUty Commlrslorct!,EWI6it EASTGRLYsedEt ryAnUse & Busir. NoCallpthe DStateofAlDepartrnent of50 North RiplW"An Afflmatlve Actlon / Equal Opportunlty Employe/ American LegalNet, Inc. www.FormsWorkFlow.com