Free Termination of Foreign Corporation Qualification - Maryland

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APPLICATION FOR TERMINATION FOR A FOREIGN CORPORATION QUALIFICATION

Pursuant to the provisions of Title 7-208 of the Corporations and Associations Article of the Annotated Code of Maryland, the undersigned corporation hereby applies to the Department of Assessments and Taxation for a certificate of termination from the State of Maryland; and as part of such Application the undersigned Corporation hereby certifies to the Department as follows: (A) The name of the Corporation is

(B) The street address of the principal office of the Corporation in the State of Maryland is

(C) The name and street address of the resident agent, service of process upon whom shall bind the Corporations in any action in which the Corporation is subject to suit in the State of Maryland are

(D) The Corporation is qualified to do intrastate business as a foreign corporation in the State of Maryland, is no longer transacting any intrastate business in the State of Maryland, and wishes to terminate its qualification to do business.

(E) The Corporation has filed all reports as required by the laws of the State of Maryland and has paid all taxes due and payable by it to the State of Maryland and any political subdivision of the State of Maryland to the date of this Application for withdrawal.

Dated:

By:

I hereby consent to my designation in this document as resident agent for this corporation.

SIGNED Resident Agent

Revised 9/99