PHOENIX OFFICE TUCSON OFFICE 1300 West Washington Phoenix, Arizona 85007-2929 Phone: (602) 542-3026 Toll Free (AZ only): 1-800-345-5819 400 West Congress, Suite #221 Tucson, Arizona 85701-1347 Phone: (520) 628-6560 Toll Free (AZ only): 1-800-345-5819 www.azcc.gov www.azcc.gov ARIZONA CORPORATION COMMISSION CORPORATIONS DIVISION GENERAL FILING INSTRUCTIONS FOREIGN BUSINESS CORPORATION APPLICATION FOR WITHDRAWAL BY DULY AUTHORIZED OFFICER Pursuant to A.R.S. §10-1521 This form is to be used only for foreign corporations that have not issued stock or have not conducted business, and that if they have done either, they need to complete form CF0025. A. FILING FEE: $25.00. EXPEDITED SERVICE AVAILABLE FOR AN ADDITIONAL $35.00 (add $35 to the filing fee). [A.R.S. §10-122.(A)(16) AND (F)(2). B THERE IS NO REQUIREMENT FOR EITHER PUBLICATION OR A TAX CLEARANCE FROM THE ARIZONA DEPARTMENT OF REVENUE. C. THE DOCUMENT SHALL BE TYPEWRITTEN MICROFILM. [A.R.S. §10-120.(D).] OR PRINTED AND SHALL BE LEGIBLE AND CAPABLE OF D. THE DOCUMENT AND ANY EXHIBITS TO THE DOCUMENT SHALL BE IN THE ENGLISH LANGUAGE OR ACCOMPANIED BY AN ENGLISH TRANSLATION CERTIFIED AS ACCURATE BY OR ON BEHALF OF THE PERSON CAUSING THE DOCUMENT TO BE DELIVERED FOR FILING. [A.R.S. §10-120.(E).] E. THE WITHDRAWAL MUST BE EXECUTED PURSUANT TO A.R.S. § 10-120.(F). F. THIS FORM MAY BE USED BY A CORPORATION SUBJECT TO THE FOLLOWING REQUIREMENTS: EITHER: 1. NONE OF THE CORPORATION’S SHARES HAVE BEEN ISSUED IN THIS STATE. 2. THE CORPORATION HAS NOT COMMENCED BUSINESS IN THIS STATE. For further information, please contact the Corporation’s Division Customer Service Information line at 602-542-3026 or toll free, Arizona Resident’s only (800) 345-5819. CF:0025A Foreign Rev.09/2009 Arizona Corporation Commission Corporations Division American LegalNet, Inc. www.FormsWorkFlow.com FOREIGN BUSINESS APPLICATION FOR WITHDRAWAL BY DULY AUTHORIZED OFFICER Pursuant to A.R.S. §10-1521 This form is to be used only for foreign corporations that have not issued stock or have not conducted business, and that if they have done either, they need to complete form CF0025. The undersigned, for the purpose of surrendering its authority to transact business in the state of Arizona pursuant to Title 10, Section §10-1521, does hereby execute this application. 1. The name of the foreign corporation in the State:of Arizona ______________________________________________________________________ 2. The name of the state or country of its incorporation: ____________________________ 3. Check all that apply: (One box is required) None of the corporation’s shares have been issued in the State of Arizona. The corporation has not commenced business in the State of Arizona. 4. No debt of the corporation acquired in the State of Arizona remains unpaid. 5. A majority of the duly authorized officer’s authorized the withdrawal. 6. The foreign corporation revokes the authority of its statutory agent to accept service on its behalf and appoints the commission as its agent for service of process in any proceeding based on a cause of action arising during the time it was authorized to transact business in this state. 7. A mailing address to which the commission may mail a copy of any process served on the commission pursuant to its appointment as the foreign corporation’s agent for service of process. Address: ________________________________________________________________ City _____________________________ , State: __________________, Zip _________ 8. The corporation will notify the Arizona Corporation Commission in the future of any change in the foreign corporation’s mailing address. Dated this ________day of ________________________, ___________ Executed by: Duly authorized officer ____________________________ [Print Name/Title] Signature: ___________________________ CF:0025A Foreign Rev.09/2009 Arizona Corporation Commission Corporations Division American LegalNet, Inc. www.FormsWorkFlow.com