Cover Letter, Certificate And Notice Of Dissolution - Florida Division Of Corporations Page 3

CERTIFICATE OF DISSOLUTION

FOR

(Name of Florida Limited Partnership or Limited Liability Limited Partnership)

Pursuant to the provisions of section 620.1203, Florida Statutes, this Florida limited

partnership or limited liability limited partnership, whose certificate was filed with the

Florida Department of State on

, hereby submits this

Certificate of Dissolution.

FIRST: Reason for dissolution: (State why partnership is submitting dissolution)

SECOND:

A Notice of Dissolution is attached.

(Check box if attached.)

THIRD: Effective date, if other than the date of filing:

(Effective date cannot be prior to nor more than 90 days after the date this document is filed by the Florida

Department of State.)

Signatures of each general partner or the person appointed pursuant to

s. 620.1803(3) or (4), F.S.:

Filing Fee:

$52.50

Certified Copy (optional):

$52.50

Certificate of Status (optional):

$8.75

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