INSTRUCTIONS: 1. Use 8275224 x 11224 white paper for attachments. 2. Please TYPE or PRINT in INK. 3. Please visit our office on the web at www.sos.IN.gov 4. Make check or money order payable to the Secretary of State. 5. Submit original completed paperwork and payment to: 302 West Washington Street, Room E-018, Indianapolis, IN 46204. (SOS use only) (If different from above 226 SOS use only) FOR PROFESSIONAL CORPORATIONS ONLY Please complete the following section so the Indiana Secretary of State can verify licensing information. Information for only one shareholder is required. (number and street, city, state, and ZIP code) American LegalNet, Inc. www.FormsWorkFlow.com (name of corporation) (Must include 223Professional Services Corporation224, 223Professional Corporation224 or 223P.C.224) (number and street, building) To determine if your Registered Agent is a Commercial Registered Agent (CRA), go to INBIZ.in.gov. Provide either commercial registered agent or noncommercial registered agent information below. (Do not provide address.) (number and street) (A P.O. Box is not acceptable unless accompanied by a Rural Route number.) (OPTIONAL) (month, day, year) American LegalNet, Inc. www.FormsWorkFlow.com (Select appropriate paragraph.) (Select appropriate paragraph.) American LegalNet, Inc. www.FormsWorkFlow.com