Delaware Division of Corporations 401 Federal Street – Suite 4 Dover, DE 19901 Ph: 302-739-3073 Fax: 302-739-3812 Application for Cancellation of a Reserved Corporate Name Dear Sir or Madam: Enclosed please find an application for cancellation of the reservation of a Corporate Name to be filed in accordance with the Corporate Law of the State Of Delaware. The fee to file the application is $75.00 to be accompanied with the application. Please make your check payable to the “Delaware Secretary of State”. Thank you for choosing Delaware as your corporate home. Should you require further assistance in this or any other matter, please don’t hesitate to call us at 302-7393073. Sincerely, Department of State Division of Corporations Encl. Rev 07/06 American LegalNet, Inc. www.FormsWorkflow.com STATE OF DELAWARE CORPORATE NAME RESERVATION CANCELLATION APPLICATION PURSUANT TO TITLE 8, SECTION 102 OF THE DELAWARE CODE TO: THE SECRETARY OF STATE OF THE STATE OF DELAWARE WE RESERVED THE FOLLOWING CORPORATE NAME FOR A PERIOD OF 120 DAYS: ____________________________________________________________________ (list name reserved here) THE APPLICATION FOR RESERVATION WAS FILED IN YOUR OFFICE ON THE _____________________ DAY OF _______________________, ________A.D. PLEASE CANCEL THE NAME RESERVATION. IT IS OUR UNDERSTANDING THAT THE CHARGE FOR CANCELING THIS RESERVATION IS $75.00. BY:_________________________________ Signature of Applicant Name:_________________________________ Print or Type Name American LegalNet, Inc. www.FormsWorkflow.com