Partnership Cancellation Certificate Form-State Of Arizona
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1State of Arizona – Office of the Secretary of State
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RITE IN
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All Limited Partnerships
Partnership Cancellation Certificate
SEND BY MAIL TO:
Secretary of State Michele Reagan, Atten: Limited Partnerships
1700 W. Washington Street, FL. 7, Phoenix, AZ 85007-2808
OR return this application in person:
PHOENIX - State Capitol Executive Tower,
TUCSON - Arizona State Complex,
1700 W. Washington Street, 1st Fl., Room 103
400 W. Congress, 1st Fl., Suite 141
Office Hours: Monday through Friday, 8 a.m. to 5 p.m., except state holidays.
Questions? Call (602) 542-6187; in-state/toll-free (800) 458-5842.
IN-PERSON ONLY - We accept major credit
cards and bank debit cards.
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All correspondence regarding this filing will be sent to the principal office identified on this certificate.
OR
FFICE
SE
NLY
PLEASE NOTE:
3/12/2015
SOSBSP
C
R
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ARTNERSHIP
ANCEL
EV
This application must be submitted with a self-addressed, stamped envelope with applicable filing fees.
INSTRUCTIONS
When to use this form: This certificate may be used for all types of
Filing Fee and Payment: $10, plus $3 per page; If filing by mail, make
partnerships on file with the Secretary of State.
checks or money orders payable to the: Secretary of State.
Be Accurate: Complete all applicable fields on this form. Write legibly; or fill
Processing: 2-3 weeks; expedited service (24-48 hours) available for an
out this application online at and print it.
additional $25.
Website: All forms are available on the Secretary of State’s website,
Submission: Submit this cancellation certificate in duplicate (one original,
one copy) with a self-addressed, stamped envelope with payment. Attach
.
additional sheets if necessary.
1. PARTNERSHIP INFORMATION (As on your current certificate on file with the Secretary of State)
A. Name of Partnership ON FILE
B. Secretary of State File Number
C. Date Certificate was Filed
Registration Number:
Month
Day
Year
2. CANCELLATION INFORMATION
A. Reason for Cancellation: Please state the reason(s) for filing this certificate of cancellation.
B. Effective Date: Please state the effective date of cancellation:
Month
Day
Year
3. GENERAL PARTNER(S)
Please provide the name and signature of all general partners. Foreign Limited Partnerships only require the signature of one general partner.
1. General Partner (Printed)
1st Signer’s Signature
Date
/
/
2. General Partner (Printed)
2nd Signer’s Signature
Date
/
/
3. General Partner (Printed)
3rd Signer’s Signature
Date
/
/
4. General Partner (Printed)
4th Signer’s Signature
Date
/
/
5. General Partner (Printed)
5th Signer’s Signature
Date
/
/
Arizona Department of State
Office of the Secretary of State
Michele Reagan, Secretary of State
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