Transfer (Application For Transfer Of A Limited Liability Partnership Name)

Delaware Division of Corporations 401 Federal Street ­ Suite 4 Dover, DE 19901 Ph: 302-739-3073 Fax: 302-739-3812 Application for Transfer of Limited Liability Partnership Name Dear Sir or Madam: Enclosed please find an application for Transfer of a Limited Liability Partnership Name to be filed in accordance with the Uniform Partnership Act of the State of Delaware. The fee to file the application is $75.00 to be accompanied with a completed application. Please make your check payable to the "Delaware Secretary of State". An invoice and copy of your application will be returned for your records. Thank you for choosing Delaware as your corporate home. Should you require further assistance in this or any other matter, please don't hesitate to call us at (302) 7393073. Sincerely, Department of State Division of Corporations encl. rev. 08/06 American LegalNet, Inc. www.FormsWorkFlow.com STATE OF DELAWARE LIMITED LIABILITY PARTNERSHIP NAME APPLICATION FOR TRANSFER PURSUANT TO TITLE 6, SECTION 15-109 UNIFORM PARTNERSHIP ACT TO THE SECRETARY OF STATE OF THE STATE OF DELAWARE PLEASE TRANSFER THE FOLLOWING LIMITED LIABILITY PARTNERSHIP NAME: (list name to be transferred here) THE NAME OF THE ORIGINAL APPLICANT OF THE NAME RESERVATION IS: FOR THE EXCLUSIVE PERIOD OF 120 DAY PURSUANT TO THE PROVISIONS OF TITLE 6, SECTION 15-109 OF THE DELAWARE CODE, THE UNDERSIGNED BEING THE PERSON INTENDING TO FORM A LIMITED LIABILITY PARTNERSHIP AND ADOPT THE ABOVE TRANSFERRED NAME, HEREBY EXECUTES THIS APPLICATION THIS DAY OF , A.D. NAME AND ADDRESS TO WHOM THE NAME IS BEING TRANSFERRED: BY:_________________________________ Authorized Person(s) Name:_________________________________ Print or Type Name American LegalNet, Inc. www.FormsWorkFlow.com