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Form Dfi/corp/610i - Domestic Or Foreign Limited Liability Partnership Notice Of Withdrawal Page 2

DOMESTIC OR FOREIGN LIMITED LIABILITY

PARTNERSHIP NOTICE OF WITHDRAWAL

____________

Your return address and phone number during the day: (

) ______ -

INSTRUCTIONS (Ref. sec. 178.40, Wis. Stats. for document content)

Submit one original and one exact copy to Department of Financial Institutions, P O Box 7846,

Madison WI, 53707-7846, together with the appropriate, together with a FILING FEE of $40.00,

payable to the department. (If sent by Express or Priority U.S. mail, address to 345 W. Washington

Ave., 3

Floor, Madison WI, 53703). This document can be made available in alternate formats upon

request to qualifying individuals with disabilities. The original must include an original manual

signature. Upon filing, the information in this document becomes public and might be used for

purposes other than those for which it was originally furnished. If you have any questions, please

contact the Division of Corporate & Consumer Services at 608-261-7577. Hearing-impaired may call

608-266-8818 for TDY.

1. Enter the name of the limited liability partnership as it is presently registered with the

Department of Financial Institutions. If the partnership is registered under a fictitious name,

provide the fictitious name.

2. Indicate if the limited liability partnership is formed under the laws of Wisconsin, or if not, the state

under whose laws it is formed.

3. Sec. 182.01(3) provides that the statement shall not be filed unless the name of the person

(individual) who drafted it is printed, typewritten or stamped thereon in a legible manner. If the

document is not executed in Wisconsin, enter that remark.

4. This statement is required by sec. 178.40(3)( c).

5. The document is to be executed by one or more partners authorized by the partnership,

or as otherwise provided in the partnership agreement.

610

DFI/CORP/

I(R5/99)

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Form Dfi/corp/610i - Domestic Or Foreign Limited Liability Partnership Notice Of Withdrawal Page 2