Statement Of Withdrawal From Registered Limited Liability Partnership Form

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PENNSYLVANIA DEPARTMENT OF STATE
CORPORATION BUREAU
Statement of Withdrawal from
Registered Limited Liability Partnership
Entity Number
(15 Pa.C.S. § 8205)
Document will be returned to the
Name
name and address you enter to
the left.
Address
City
State
Zip Code
Fee: $70
Filed in the Department of State on ________________________
Secretary of the Commonwealth
In compliance with the requirements of 15 Pa.C.S. § 8205(c) (relating to statement of withdrawal), the undersigned partner of
a registered limited liability partnership, desiring to evidence the partner's withdrawal from a registered limited liability partnership,
hereby certifies that:
1
The name is of the registered limited liability partnership is:
.
2. The name of the person withdrawing is:
IN TESTIMONY WHEREOF, the undersigned person has
caused this Statement of Withdrawal to be executed this
day of
,
.
Name of Person
Signature
Title

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