Free OFFICE OF THE TEXAS SECRETARY OF STATE - Texas

OFFICE OF THE TEXAS SECRETARY OF STATE BUSINESS OPPORTUNITY VOLUNTARY TERMINATION STATEMENT
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FOR: Registration No.:

Pursuant to Title 4, Tex. Bus. & Com. Code (the "Code") §51.251, the above referenced business opportunity registrant voluntarily terminates their registration because one or more of the following conditions exist: 1) The registered business opportunity will no longer be offered in Texas. 2) The registered business opportunity has been changed to a point where the definition of a business opportunity as set forth in Section 51.003(a) of the Code no longer defines the business opportunity being offered. 3) The registered business opportunity now falls within one of the exemptions listed in Section 51.003(b) of the Code. 4) The principal seller offering the registered business opportunity has ceased to exist as a legal entity. BUSINESS OPPORTUNITY REGISTRANT:

SIGNED BY: DATE SIGNED:

-------------------------------· INSTRUCTIONS ---------------------------------------------------------------1)Please print or type when filling out this form. 2)Be sure and fill in all the appropriate blanks. 3)Insert the name of the Business Opportunity Registrant after the word "FOR" above. The name must match the name on file with this office. 4)The registration number is the number that you were issued by this office. 5)Check the appropriate numbered blank that corresponds to the reason for the voluntary termination of the registration. 6)If you do not mark any reason for voluntarily terminating your registration, the form will be returned. 7)The filing fee is $25.00. The check is made payable to the Secretary of State. The form will be returned if the $25.00 filing fee is omitted. 8)The completed form and filing fee should be sent to: Secretary of State Statutory Documents P.O. Box 13550 Austin, Texas 78711-3550

9)The Voluntary Termination Statement will be effective as of the date of receipt of the properly completed Statement and correct filing fee. If you have any questions concerning this form, you may contact this office at (512) 475-1769.

FORM #2704

Rev. 4/7/98