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LP 907
Illinois
FILE #
Form
Uniform Limited Partnership Act
August 2012
This space for use by Secretary of State.
Cancellation of
Secretary of State
Certificate of Authority
Department of Business Services
Limited Liability Division
501 S. Second St., Rm. 357
Springfield, IL 62756
SUBMIT IN DUPLICATE
217-524-8008
Please type or print clearly.
Payment may be made by check
Filing Fee: $25
payable to Secretary of State. If check
is returned for any reason this filing
Approved:
will be void.
Please do not send cash.
1. Limited Partnership Name:________________________________________________________________
2. Alternate Name, if any: __________________________________________________________________
3. Assumed Name, if any: __________________________________________________________________
4. The Limited Partnership named above is not transacting business in Illinois and surrenders its authority to
do so. It revokes the authority of its agent for service of process in Illinois. It now appoints the Secretary of
State as its agent for service of process for rights of action arising out of the transaction of business in this
state.
5. Address to which the Secretary of State may mail a copy of any process against the Limited Partnership
that may be served on him/her (P.O. Box only is unacceptable):
____________________________________________________________________________________
Street Address (P.O. Box alone is unacceptable.)
____________________________________________________________________________________
City, State, ZIP
The original Certificate of Cancellation must be signed by a General Partner. The undersigned affirms,
under penalties of perjury, that the facts stated herein are true, correct and complete.
Dated:_____________________________________
__________________________________________
________________________________________
__________________________________________
Signature
Name and Title (type or print)
________________________________________
________________________________________
General Partner Name if corporation or other entity
Street Address, City, State, ZIP
Signatures must be in black ink on an original document.
Carbon copy, photocopy or rubber stamp signatures
may only be used on conformed copies.
♻ Printed on recycled paper. Printed by authority of the State of Illinois. August 2012 — 1 — C LP 6.12