TO: District Director Internal Revenue Service ______________________

Notice is hereby given, pursuant to Section 1362 of the Internal Revenue Code, that ________________________, a _____________ corporation with offices at ________________, hereby revokes its S corporation election, filed with you on ________________, 20___. The first taxable year for which this revocation is intended to be effective is the taxable year commencing _________________, 20__.

Dated _________________________, 20__.

___________________________ BY:________________________ as President of the corporation

SHAREHOLDERS' CONSENT TO REVOCATION OF ELECTION

We, the undersigned, being more than one-half of the shareholders of __________________ at the beginning of the day on which the revocation of S Corporation election to which this consent is attached was filed with the District Director of Internal Revenue at ___________________, hereby consent to such revocation.

Dated ____________________, 20__.

Number of Name and Address Shares Owned Signature

__________________________________

__________________________________

__________________________________

NOTICE

The information in this document is designed to provide an outline that you can follow when formulating business or personal plans. Due to the variances of many local, city, county and state laws, we recommend that you seek professional legal counseling before entering into any contract or agreement.