COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Sec. 183.1011 Wis. Stats. Index No. State of Wisconsin : DEPARTMENT OF FINANCIAL INSTITUTIONS No. Calendar Division of Corporate & Consumer Services : Plaintiff(s) JUDICIAL SUBPOENA -againstFOREIGN LIMITED LIABILITY COMPANY – WITHDRAWAL : APPLICATION : 1. : (Name of foreign limited liability company) Defendant(s) : ...................................................... company organized under the laws of , a foreign limited liability and holding a certificate of (state/country) registration to transact business in OF NEW YORK THE PEOPLE OF THE STATE Wisconsin, hereby surrenders that registration, applies for a TO Certificate of Withdrawal, and states: A. The foreign limited liability company is not transacting business in Wisconsin. GREETINGS: B. The authority of its registered agent to accept service of process on its behalf is hereby revoked. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before C. The Honorable , the foreign limited liability company hereby consents to service of process under sec. 183.1010(3) at the Court and (4) of the Wisconsin Statutes inlocated at criminal, administrative or investigatory proceeding any civil, County of based on a cause of actionthe transact the in Wisconsin. in room , on arising during the time it ,was registered to o'clock inbusiness noon, and at any recessed day of 20 , at or adjourned date, to testify and give evidence as a witness in this action on the part of the D. The address to which a copy of any process against the foreign limited liability company may be mailed is: Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable , one of the Justices of the Court in County, day agrees to notify20 Department of Financial Institutions of of , the E. The foreign limited liability company any future change in the address to which a copy of any process is to be mailed. (Attorney must sign above and type name below) 2. Executed on Title: (Date) Member OR Manager (Signature) Attorney(s) for (Select and mark (X) the one appropriate title) (Printed name) Office and P.O. Address _________________________________________________________________________________ FILING FEE - $40.00 See instructions, suggestions and procedures on following page. Telephone No.: DFI/CORP/524(R04/22/03) Use of this form is mandatory. (Earlier editions, 1998 and later, may be used) 1 of 2 Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : FOREIGN LIMITED LIABILITY COMPANY WITHDRAWAL APPLICATION Index No. : ┌ Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : : : └ Defendant(s) : . . . . . return .address .and. phone . . . . . . . . . . . . . . .the.day:. .(. . . . . . . . . . . . . . . . . . . . . . . number during . . . . . ▲ Your ) _____ - ___________ INSTRUCTIONSOF THE STATE OF NEW YORK for document content) THE PEOPLE (Ref. sec. 183.1011, Wis. Stats., Submit one original and one exact copy to Department of Financial Institutions, P O Box 7846, TO Madison WI, 53707-7846, together with the appropriate FILING FEE of $40. Filing fee is nonrefundable. (If sent by Express or Priority U.S. mail, address to 345 W. Washington Ave., 3rd Floor, Madison WI, 53703). Sign the document manually or otherwise as allowed under sec. 183.1011, Wis. GREETINGS: Stats. NOTICE: This form may be used to accomplish a filing required or permitted by statute to be made with the department. Information requested may be used for secondary purposes. If you have WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before any questions, please contact the Division of Corporate & Consumer Services at 608-261-7577. , the Honorable at the Court Hearing-impaired may call 608-266-8818 for TTY. This document can be made available in alternate located at County of formats upon request to qualifyingday of individuals with ,disabilities. in room , on the 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the 1. Enter the name of the foreign limited liability company and the state in which it is organized. If the company holds its certificate of registration under a fictitious name, provide the fictitious name as well. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf thisare required by sec. 183.1011(2)(b) and (c).of $50 and all damages sustained as a A, B & C. These statements subpoena was issued for a maximum penalty result of your failure to comply. D. Provide an address to which a copy of any process against the foreign limited liability company Witness, Honorable , one of the Justices of the may be mailed. Court in County, day of , 20 2. The application is to be executed by either a member or a manager of the company. Print or type the name of the person signing the application, the date, and indicate whether signing as a (Attorney must sign above and type name below) member or as a manager. Attorney(s) for Office and P.O. Address DFI/CORP/524I(R04/22/03) Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 2 of 2 American LegalNet, Inc. www.USCourtForms.com