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PUBLIC REGULATION COMMISSION CORPORATIONS BUREAU CHARTERED DOCUMENTS DIVISION P.O. BOX 1269 SANTA FE, NEW MEXICO 87504-1269 (505) 827-4567 REQUIREMENTS FOR CANCELLATION OF REGISTRATION OF FOREIGN LIMITED LIABILTY COMPANY (53-19-52 NMSA 1978) FILING FEES: Application for Certificate of Cancellation, $25 (submit a signed original of the application, together with a duplicate copy which may be either signed or photocopied; the duplicate copy and a Certificate of Cancellation will be returned for the company's records). The following fees apply only if you want an additional copy or copies to be certified: $25 per certified copy; if you do not provide the extra copy, a reproduction fee of $1 per page, minimum $10 is charged in addition to the $25 certification fee. Payment of fees must be made by check or money order, made payable to the New Mexico Public Regulation Commission or NMPRC. The PRC does not accept cash payment for any fees. FILING: A foreign limited liability company registered to transact business in New Mexico may cancel its registration if it no longer desires to transact such business, upon procuring from the commission a Certificate of Cancellation. The limited liability company shall file with the commission: (1) the signed original of the application for Certificate of Cancellation, together with a duplicate copy which may be either signed or photocopied; and (2) $25 filing fee. If the commission determines that the documents delivered for filing conform with the provisions of the Limited Liability Company Act, it shall, when all required filing fees have been paid, retain the signed original in the files of the commission and return the duplicate together with a Certificate of Cancellation. EXECUTION OF DOCUMENTS: The application for Certificate of Cancellation shall be executed (signed) by a person with the authority to do so under the laws of the state of its organization. NOTE: Please refer to sections 53-19-47 to 53-19-74 of the New Mexico Limited Liability Company Act for the complete statutes governing a foreign limited liability company in New Mexico. A copy of the statutes can be obtained from this office at your request. The Corporations Bureau can only act in an administrative capacity. We cannot offer you legal advice or opinion on your particular filing. We recommend that you consult with your own attorney and accountant if you have legal questions concerning your limited liability company. INCLUDED IN THIS PACKET ARE INSTRUCTIONS FOR COMPLETING OUR FORMS. PLEASE FOLLOW THESE INSTRUCTIONS CAREFULLY. Please visit our website at: www.nmprc.state.nm.us

DOCUMENTS MUST BE TYPED OR PRINTED LEGIBLY Instructions For Completing Form FLLC-CAR (Application for Cancellation of Registration)
Item 1: Enter the complete name of the limited liability company, as it currently appears on the records of the commission, and the NMPRC # (charter ID number found on the Certificate of Authority). Item 2: Enter the state or country where the company originally filed to become organized as a limited liability company. Item 3: These statements that are required to be set forth in the application for Cancellation of Registration. By signing this application, the limited liability company is affirming these statements. Item 4: Enter the mailing address to which a copy of any process that may be made against the company may be mailed. Date and Execution: Enter the date the application was executed (signed). Enter the name of the applying limited liability company on the line provided. The application must be signed by a person with the authority to do so under the laws of the state or country of its organization.

SUBMIT ORIGINAL AND A COPY
TYPE OR PRINT LEGIBLY

Foreign Limited Liability Company APPLICATION FOR CANCELLATION OF REGISTRATION
The undersigned limited liability company, in order to apply for a Certificate of Cancellation under the New Mexico Limited Liability Company Act, submits the following statement:

1. The name of the limited liability company is (include NMPRC #): _______________________ _______________________________________________________________________________ 2. It is organized under the laws of: __________________________________________________ 3. It is not transacting business in New Mexico. It surrenders its registration to transact business in New Mexico. It confirms the authority of its registered agent for service of process in New Mexico. It consents that service of process in any action, suit or proceeding based upon any cause of action arising in New Mexico during the time the foreign limited liability company was registered to transact business in New Mexico also may be made on such company by service upon the secretary of state.

4. The address to which a person may mail a copy of any process against the limited liability company is: _____________________________________________________________________ _______________________________________________________________________________

Dated: _____________________

______________________________________________ Name of Limited Liability Company By___________________________________________ Signature of Authorized Person

Form FLLC-CAR (revised 7/03)