Form 16 - Affidavit Of Cancellation Of Domestic Or Foreign Limited Liability Partnership
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1Prepare, sign, and submit with an original signature and filing fee.
This is the minimum information required.
STATE OF MONTANA
(This space for Secretary of State use only)
AFFIDAVIT of CANCELLATION of DOMESTIC or
FOREIGN LIMITED LIABILITY PARTNERSHIP
35-10-721, MCA
MAIL:
LINDA McCULLOCH
Secretary of State
P.O. Box 202801
Helena, MT 59620-2801
PHONE:
(406) 444-3665
FAX:
(406) 444-3976
Required Filing Fee: No fee
WEB SITE:
sos.mt.gov
24 Hour Priority Handling check box and Add $20.00
1 Hour Expedite Handling check box and Add $100.00
Folder ID Number: _____________
The folder number begins with a “P” and may be
Make checks payable to Secretary of State.
referenced at
https://app.mt.gov/bes/.
If the document is hand written, please print legibly or the application may be denied.
1. The complete name and business mailing address of the Limited Liability Partnership to be canceled:
Name: ____________________________________________________________________________________________________
Business Mailing Address: ____________________________________________________________________________________
City: ___________________________________________________ State: ___________ Zip Code:__________________________
2. The state, tribe, or country of jurisdiction: _______________________________________________________________________
3. The names and business mailing addresses of the partners: (For additional names and addresses attach a separate sheet of
paper.)
__________________________________________________________________________________________________________
Name
Business Mailing Address
__________________________________________________________________________________________________________
Name
Business Mailing Address
__________________________________________________________________________________________________________
Name
Business Mailing Address
4. I, HEREBY SWEAR AND/OR AFFIRM, under penalty of law, including criminal prosecution, that the facts contained in this
document are true.
__________________________________________________________________________
____________________________
Date
__________________________________________________________________________
____________________________
Signatures of at least two Partners are required.
Date
5. Daytime Contact: Phone ______________________________ Email ________________________________________________
sos.mt.gov/Business/Forms
16-Cancellation_of_Domestic_or_Foreign_Limited_Liability_Partnership
Revised: 07/2015
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