Certificate Of Cancellation {LLP-04}

State of North Carolina Department of the Secretary of State CERTIFICATE OF CANCELLATION Registered Limited Liability Partnership Pursuant to 24759-84.2(j) or 247 59-91(k) of the General Statutes of North Carolina, as applicable, the undersigned hereby submits this Certificate of Cancellation for the purpose of cancelling its registration as a domestic or foreign Registered Limited Liability Partnership. 1.The name of the partnership as reflected on the application for registration: 2.The date of filing of the application for registration that is to be cancelled:3.The Secretary of State may mail a copy of any process served on the Secretary of State to the following mailingaddress:. A statement of any subsequent change in themailing address identified above will be filed with the Secretary of State. 4.This cancellation will be effective upon filing, unless a date and/or time is specified: This the day of , 20. Signature Type or Print Name and Title Note: The filing fee for this document is $25.00. BUSINESS REGISTRATION DIVISION P.O.BOX 29622 RALEIGH, NC 27626-06222 (Revised August, 2017) Form LLP-04 American LegalNet, Inc. www.FormsWorkFlow.com Instructions for Completing Certificate of Cancellation (Form LLP-04) 1. This application must be executed by one or more partners. 2. The original executed Certificate of Cancellation, along with the $25.00 filing fee, should be filed with the Corporations Division at the address below: Department of the Secretary of State Post Office Box 29622 Raleigh, North Carolina 27626-0622 3. If the Certificate of Cancellation is properly completed, the Secretary of State will file the Certificate and return a conformed copy stamped with the effective date of filing. BUSINESS REGISTRATION DIVISION P.O.BOX 29622 RALEIGH, NC 27626-06222 (Revised August, 2017) Form LLP-04 American LegalNet, Inc. www.FormsWorkFlow.com