Form Lp 907 - Cancellation Of Certificate Of Authority (Foreign Limited Partnership) - Illinois Secretary Of State Page 2

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Form LP 907
The undersigned affirms, under penalties of perjury, that the facts stated herein are true. The original
Certificate of Cancellation must be signed by a General Partner.
1.
Signature
Name and Title (type or print)
General Partner Name if corporation or other entity
Street Address
City, State, ZIP , County
Signatures must be in black ink on an original document.
Carbon copy, photocopy or rubber stamp signatures
may only be used on conformed copies.
Printed by authority of the State of Illinois. September 2009 — 200 — C LP 6.10

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