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

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UPA-139
(01/00)
COMMONWEALTH OF VIRGINIA
STATE CORPORATION COMMISSION
STATEMENT OF CANCELLATION OF REGISTRATION
AS A FOREIGN REGISTERED LIMITED LIABILITY PARTNERSHIP
The undersigned presents this statement for filing pursuant to Section 50-73.139 of the Code of Virginia.
MARK ONE: This cancellation is for o o a partnership or o o a limited partnership.
1. The name of the registered limited liability partnership is:
___________________________________________________________________________________________
___________________________________________________________________________________________
2. The date of filing of the initial statement of registration with the Commission was ________________________,
(month, day, year)
file 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 it 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 individuals executing this document personally declare under penalty of perjury that the contents are
accurate.
Signatures of at least two partners:
________________________________________
_____________________________________________
INSTRUCTIONS ON THE REVERSE

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