Statement Of Cancellation Of A Statement Of Registration Of A Domestic Registered Limited Liability Partnership {UPA-137}

COMMONWEALTH OF VIRGINIA UPA-137 STATE CORPORATION COMMISSION (03/03) STATEMENT OF CANCELLATION OF A STATEMENT OF REGISTRATION OF A DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP The undersigned present(s) this statement for filing pursuant to 50-73.137 of the Code of Virginia. 1. The name of the registered limited liability partnership is: ___________________________________________________________________ ________________ ___________________________________________________________________ ________________. 2. The date of filing of the initial statement of registration was ____ _____________________________, (month, day, year) SCC ID number ______________________________. 3. The effective date of cancellation is:[ ] the date of filing. [ ] _____________________. (NOTE: The effective date must be on or after the date the certificate of cancellation is filed. If no effective date is specified, the effective date will be the date the cer tificate of cancellation is filed. See 50-73.137 of the Code of Virginia.) 4. Additional information the partners wish to include: ___________________________________________________________________ ______________ ___________________________________________________________________ ______________. 5. The cancellation of the registration of this partnership as a registe red limited liability partnership is consented to by all partners in the partnership at the time this stateme nt is filed. The undersigned individual(s) personally declare(s) under penalty of perjury that the contents of this statement are accurate. Signatures of at least two partners of a partnership or one or more auth orized general partners of a limited partnership: __________________________ _______________________ _______________________ _________ (signature) (printed name) (title) (date)__________________________ _______________________ _______________________ _________ (signature) (printed name) (title) (date)__________________________ (telephone number optional) INSTRUCTIONS ON THE REVERSE American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2 INSTRUCTIONS The statement must be in the English language, typewritten or printed in black, legible and reproducible. See 50-73.83 of the Code of Virginia. The document must be presented o n uniformly white, opaque paper, free of visible watermarks and background logos. You can download this form from our website at www.state.va.us/scc/division/clk/index/htm. The person who files this statement shall promptly send a copy of the st atement to every nonfiling partner and to any other person named as a partner in the statement. See 5 0-73.83 E of the Code of Virginia. The filing of a statement of cancellation of a registered limited liabil ity partnership by or on behalf of a partnership pursuant to 50-73.137 of the Code of Virginia shall be effective only to cancel the partnerships registration as a registered limited liability partnership, and shall no t, unless it is specifically so provides, indicate the dissolution of the partnership. Submit the original, signed statement to the Clerk of the State Corporat ion Commission, P.O. Box 1197, st Richmond, Virginia 23218-1197, (Street address: 1300 East Main Street, Tyler Building, 1 Floor, Richmond,Virginia 23219), along with a check for the filing fee in the amount of $25.00, payable to the State Corporation Commission. PLEASE DO NOT SEND CASH. If you have any questions, please call (804) 371-9733 or toll- free in Virginia, 1-866-722-2551. American LegalNet, Inc. www.USCourtForms.com