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

COMMONWEALTH OF VIRGINIA

UPA-139

STATE CORPORATION COMMISSION

(10/01)

STATEMENT OF CANCELLATION OF REGISTRATION

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 date of filing of the initial statement of registration in Virginia was _______________________________,

(month, day, year)

SCC ID number ________________________________________.

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

4. The authority of ___________________________________________________________________________

(name of registered agent)

to accept service of process is revoked and the Clerk of the Commission is appointed as agent for service of

process in any action, suit or proceeding based upon any cause of action arising during the time the partnership was

authorized to transact business in Virginia.

5. The address where the Clerk of the Commission may mail process is:

___________________________________________________________________________________________

___________________________________________________________________________________________.

Signed this ___________ day of ________________, 20 ______.

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:

________________________________________

_____________________________________________

________________________________________

_____________________________________________

(printed name)

INSTRUCTIONS ON THE REVERSE

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