DGP/DNGP Cancellation - 01/2019 Page 1 of 3 STATE OF ALABAMA DOMESTIC GENERAL PARTNERSHIP CANCELLATION OF: STATEMENT OF PARTNERSHIP (GP)/ STATEMENT OF NOT FOR PROFIT PARTNERSHIP PURPOSE: In order to cancel the Statement of General Partnership OR Statement of Not For Profit Partnership under Section 10A-8A-2.03(d) of the Code of Alabama 1975 this Statement of Cancellation and the appropriate filing fees must be filed with the Office of the Alabama Secretary of State. The information required in this form is required by Title 10A. INSTRUCTIONS: Mail one (1) signed original and one copy of this completed form and the filing fee to the Office of the Alabama Secretary of State, P.O. Box 5616, Montgomery, AL 36103-5616. The filing fee is $100.00 for standard processing or $200.00 for expedited processing within 24 hours after receipt by the Office of the Secretary of State Your Cancellation will not be indexed if the credit card does not authorize and will be removed from the index if the check is dishonored ($30.00 fee). This form must be typed or laser printed. Statement of Partnership Statement of Not For Profit Partnership 1.The name of the General Partnership OR Not For Profit Partnership from the filed Statement of Partnership: 2.Alabama Entity ID Number (Format: 000-000): - INSTRUCTION TO OBTAIN ID NUMBER TO COMPLETE FORM: If you do not have this number immediately available, you may obtain it on ourwebsite at www.sos.alabama.gov . Business Services (below picture), Business Entity Search, click on Entity Name, enter the name of the entity in the appropriate box, and enter. The six (6) digit number containing a dash to the left of the name is theentity ID number. If you click on that number, you can check the details page to make certain that you have the correct entity 226this verification step is strongly recommended. (For SOS Office Use Only) American LegalNet, Inc. www.FormsWorkFlow.com DOMESTIC GENERAL PARTNERSHIP CANCELLATION OF STATEMENT OF/NOT FOR PROFIT PARTNERSHIP DGP/DNGP Cancellation - 01/2019 Page 2 of 3 3.The date the Statement was filed:/ / (format MM/DD/YYYY) The Office in which the Statement & Amendments were filed: Street (No PO Boxes) address of principal office of limited liability partnership:Mailing address of principal office (if different from street address):The name of the Registered Agent:Street (No PO Boxes) address of Registered Office 226 must be the location of Registered Agent (if differentfrom principal office address):Mailing address of Registered Office/Agent (if different from street address):This statement of cancellation was approved in accordance with 10A-8A-2.03 of the Code of Alabama1975.Delayed effective date of the Cancellation: /format MM/DD/YYYY) - must be thedate later than the date the filing is received by the filing office. Filing date will be the effective date if alater date is not provided.The person filing this statement shall promptly send a copy of this Statement of Cancellation to everynonfiling partner and to any other person named as a partner. Exception to Filing Order: The filer certifies that this entity was created by an act of the Legislature prior to the adoption of the Constitution of Alabama of 1901, or was formed as a result of a merger, share exchange, or conversion and may be filed first with the Secretary of State of Alabama with copies and fees for the County Probate Office included in the filing pursuant to 10A-1-4.02(c)(4). American LegalNet, Inc. www.FormsWorkFlow.com DOMESTIC GENERAL PARTNERSHIP CANCELLATION OF STATEMENT OF/NOT FOR PROFIT PARTNERSHIP DGP/DNGP Cancellation - 01/2019 Page 3 of 3 Must be executed by one or more partners authorized to execute Statement of Cancellation. Date (MM/DD/YYYY) Signature of Partner Typed Name of Above Partner Signature Signature of Partner Typed Name of Above Partner Signature American LegalNet, Inc. www.FormsWorkFlow.com Credit Card/Prepaid Acct. Option Sheet 226 01/2019 Secretary of State Credit Card or Prepaid Payment Option/Return/Hold Sheet: If you do not send an acknowledgement copy and a pre-addressed postage paid envelope with the filing or provide an email return on this form, you will not receive a credit card or prepaid account receipt from the Secretary of State222s Office. Hold for pickup request will have the receipt attached. The document of record will be stamped showing the receipt of the filing fee and expedite fee but will not show convenience fees which will be charged; (generally these fees are between 2% and 5% of the total charge). Information MUST be typed or filing will be returned without review. Entity Name: AL Entity ID Number: - (ex: 000-000) Service Requested: X $0.00 iling fee $100.00 Expedited Processing fee (must be included with initial filing) Hold at Front Desk for Pick-up by: (Service providers who run couriers for pick-up) There is no notification service and there will not be a call for pick-up. Return via email (only one email): (ONLY for expedited filings) No paper copy will be mailed Charge fees to prepaid account: Account Number and Account Name Typed Name & Signature of Authorized Individual on Account Credit Card Type: (Visa, MC, Discover & AmEx) Card Number: Expiration Mo/Yr: / (MM/YY) Card Holder Name: Complete Billing Address: Street or PO City State Zip Signature of Card Holder: MUST be Signature of Card Holder American LegalNet, Inc. www.FormsWorkFlow.com