State of North Carolina
Department of the Secretary of State
Cancellation of Certificate of Domestic or Foreign Limited Partnership
A.
Return Acknowledgement to:
Office Use Only
Name:
Mailing Address:
City/State/Zip:
Read Instructions on reverse before beginning. Attach additional pages as needed and complete appropriate section.
No. of pages
B. DOMESTIC LIMITED PARTNERSHIP CANCELLATION
attached:
1.Name of limited partnership:
2.Date originally filed with Secretary of State:
3.Number originally assigned by Secretary of State:
4.Reason for cancellation:
5.Effective date of cancellation (not to exceed 90 days from this filing by Secretary of State):
6.Any other information partners wish to present:
7.The following signatures by each general partner constitute an affirmation under the penalties of perjury that the facts herein are true.
Complete for each general partner.
Signature
Date
1. Name
Title
2. Name
Title
3. Name
Title
No. of pages
C. FOREIGN LIMITED PARTNERSHIP CANCELLATION
attached:
1.Name of limited partnership:
2.Name used to transact business in N.C., if different:
3.Date originally filed with N.C. Secretary of State:
4.Number originally assigned by N.C. Secretary of State:
5.Reason for cancellation:
6.Effective date of cancellation (not to exceed 90 days from this filing by N.C. Secretary of State):
7.Any other information partners wish to present:
8.The following signature by one general partner constitutes an affirmation under penalty of perjury that the facts herein are true:
Type or print name
Title
Signature
Date
NOTES:
1.
Filing fee is $25.00. This document and one exact or conformed copy must be filed with the Secretary of State.
(Revised January 2000)
Form LP-03
CORPORATIONS DIVISION
P.O. BOX 29622
RALEIGH, NC 27626-0622