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Form Lp-103a - Certificate Of Cancellation Of Authority (Foreign Limited Partnership) - New Jersey Division Of Revenue Page 2

Rev 7/05

Instructions for Form LP-103A

CERTIFICATE OF CANCELLATION

FOREIGN LIMITED PARTNERSHIP

(Title 42:2A)

STATUTORY FEE: $75

The MANDATORY fields are:

Field # 1 -- Business Name

List the name as it appears on the records of the State Treasurer.

Field # 2 – Limited Partnership Number

Provide the 10-digit business entity identification number issued by the State of New Jersey.

Field # 3 -- Home Jurisdiction

List the state in which the LP was formed.

Field # 4 – Qualification Date

List the date qualified to do business in New Jersey.

Field # 5 -- Reason For Filing

Specify the reason for filing the cancellation.

Field # 6 – Effective Date

Specify the effective date if it is other than the filing date. The effective date cannot be

before the filing date nor can it be more than 30 days after the filing date. The filing date is

the date the document is received for processing.

Field # 7 – Additional Information (Optional)

Include specific details of the cancellation

EXECUTION (DATE/SIGNATURE)

Have a general partner sign. If there is no existing general partner, have the limited

partner(s) sign in accordance with Title 42:2A. Also, list the date of execution (signature).

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These documents should be filed in duplicate. Non-profits should file in triplicate.

All

annual report obligations

should be satisfied prior to submitting the dissolution paperwork.

Make payable to: TREASURER, STATE OF NEW JERSEY. (No cash, please)

Mail to: NJ Division of Revenue, PO Box 308, Trenton, NJ 08646

Form Lp-103a - Certificate Of Cancellation Of Authority (Foreign Limited Partnership) - New Jersey Division Of Revenue Page 2