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Corporate Filings 312 Rosa L. Parks Avenue 6th Floor, William R. Snodgrass Tower Nashville, TN 37243

WRITTEN CONSENT TO TERMINATION OF CORPORATION

(Corporate Name)

We, the undersigned, being all of the shareholders or members entitled to vote, hereby give our written consent to the termination of

(Corporate Name)

a corporation organized and existing under the laws of the State of Tennessee on the following terms and conditions (Insert here any terms and conditions which are desired and are in accordance with law).

Signature

Signature Date

Name (typed or printed)

Signer's Capacity

SS-4256 (Rev. 2/02)

No Filing Fee

RDA 1678