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Form Upa-139 - Statement Of Cancellation Of Registration As A Foreign Registered Limited Liability Partnership

COMMONWEALTH OF VIRGINIA

STATE CORPORATION COMMISSION

UPA-139

STATEMENT OF CANCELLATION OF REGISTRATION

(04/06)

AS A FOREIGN REGISTERED LIMITED LIABILITY PARTNERSHIP

The undersigned present(s) this statement for filing pursuant to § 50-73.139 of the Code of Virginia.

1. The name of the registered limited liability partnership is

_______________________________________________________________________

_______________________________________________________________________.

2. The initial statement of registration was filed in Virginia on ___________________________.

(month, day, year)

3. The state or other jurisdiction of formation is ____________________________________.

4. The foreign registered limited liability partnership is not transacting business in Virginia and

it surrenders its registration to transact business in Virginia.

5. The foreign registered limited liability partnership revokes the authority of its registered

agent to accept service on its behalf and appoints the Clerk of the Commission as its agent

for service of process in any proceeding based on a cause of action arising during the time

it was authorized to transact business in Virginia.

6. A mailing address to which the Commission may mail a copy of any process served on the

Clerk of the Commission under paragraph 5 is

_______________________________________________________________________

_______________________________________________________________________.

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 authorized general partners

of a limited partnership:

_______________________

________________________

___________

_________

(signature)

(printed name)

(title)

(date)

_______________________

________________________

___________

_________

(signature)

(printed name)

(title)

(date)

________________________________

__________________________________

(registered limited liability partnership’s SCC ID no.)

(telephone number (optional))

SEE INSTRUCTIONS ON THE REVERSE

Provide a name and mailing address for sending correspondence regarding the filing of this document. (If left

blank, correspondence will be sent to the registered agent at the registered office.)

(name)

(mailing address)

Form Upa-139 - Statement Of Cancellation Of Registration As A Foreign Registered Limited Liability Partnership

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