Certification Of Cancellation {LLLP-03}

BUSINESS REGISTRATION DIVISION P.O.BOX 29622 RALEIGH, NC 27626-06222 (Revised August, 2017) (Form LLLP-03) State of North Carolina Department of the Secretary of State CERTIFICATE OF CANCELLATION Registered Limited Liability Limited Partnership Pursuant to 24759-210(f) of the General Statutes of North Carolina, the undersigned hereby submits this Certificate of Cancellation for the purpose of cancelling its registration as a Registered Limited Liability Limited Partnership. 1.The name of the limited liability limited partnership as reflected on the application for registration: 2.The date of filing of the application for registration that is to be cancelled: 3.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 Notes: 1. The filing fee for this document is $25.00. 2. This document must be filed with the Secretary of State. American LegalNet, Inc. www.FormsWorkFlow.com BUSINESS REGISTRATION DIVISION P.O.BOX 29622 RALEIGH, NC 27626-06222 (Revised August, 2017) (Form LLLP-03) Instructions for Completing Certificate of Cancellation (Form LLLP-03) 1. This application must be executed by at least one general partner. 2. The original executed Certificate of Cancellation, along with the $25.00 filing fee, should be filed with the Business Registration 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. American LegalNet, Inc. www.FormsWorkFlow.com