Statement Of Cancellation Of Limited Liability Partnership Form (2004)

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Delaware Division of Corporations
401 Federal Street – Suite 4
Dover, DE 19901
Ph: 302-739-3073
Fax: 302-739-3812
Statement of Cancellation of
Limited Liability Partnership
Dear Sir or Madam:
Enclosed is the Statement of Cancellation of a Delaware Limited Liability
Partnership to be filed in accordance with the Limited Liability Partnership Act of the
State of Delaware. The fee to file the Certificate is $200.00 and you will receive a
stamped “Filed” copy of your submitted document. A certified copy may be requested
for an additional $50. Expedited services are available. Please contact our office
concerning these fees.
Please contact our Franchise Tax Section concerning any taxes due at the time of
cancellation. A check for the tax payment and filing fee must accompany the Certificate
for filing. Please make your check payable to the “Delaware Secretary of State”.
For the convenience of processing your order in a timely manner, please include a
cover letter with your name, address and telephone/fax number to enable us to contact
you if necessary. Please make sure you thoroughly complete all information requested on
this form. It is important that the execution be legible, we request that you print or type
your name under the signature line.
Thank you for choosing Delaware as your corporate home. Should you require
further assistance in this or any other matter, please don’t hesitate to call us at (302) 739-
3073.
Sincerely,
Department of State
Division of Corporations
encl.
rev. 06/04

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