STATE OF ALABAMA DOMESTIC LIMITED LIABILITY LIMITED PARTNERSHIP (LLLP) STATEMENT OF DISSOLUTION D3LPDissolution22601/2019Page1of2PURPOSE: In accordance with Section 10A-9A-8.02 of the Code of Alabama 1975 a dissolved Limited Liability Limited Partnership that has completed winding up may deliver for filing in accordance with Section 10A-9A-8.02(b)(1) a Statement of Dissolution. INSTRUCTIONS: Mail one (1) signed original and two (2) signed copies of this completed Dissolution along with the appropriate filing fees to the Office of the Judge of Probate in the county where the Partnership222s original Certificate of Formation was filed. Contact the Judge of Probate222s Office to determine the county filing fees. Make a separate check or money order payable to the Secretary of State for the state filing fee of $100.00 and the Judge of Probate222s Office will transmit the fees along with a certified copy of the Dissolution to the Office of the Secretary of State within 10 days after the Dissolution is recorded. You may pay the Secretary of State fee by credit card if the county you are filing in will accept that method of payment (see attached). Your filing 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. 1. ThefulllegalnameoftheLimitedLiabilityLimitedPartnershipfromthefiledCertificate: 2. DatetheCertificateofL.L.L.Partnershipwasfiledinthecounty(mm/dd/yyyy): CountyinwhichCertificateofL.L.L.Partnershipwasfiled: 3. Alabama Entity ID Number (Format: 000-000): - INSTRUCTION TO OBTAIN ID NUMBER TO COMPLETE FORM: You may obtain the number on our website at www.sos.alabama.gov Click on Business Services (below picture), click on Business Entity Search, click on Entity Name, enter the name of the Partnership in the appropriate box, and enter. The six (6) digit number containing a dash to the left of the name is the entity ID number. If you click on that number, you can check the details page to make certain that you have the correct entity 226 this verification step is strongly recommended. 4. A Statement of Dissolution must be signed by all general partners or by the person appointed pursuant to Section 10A-9A-803(b) or (c) to wind up the dissolved Limited Liability Limited Partnership222s activities and affairs. Signing requirements are in accordance with 10A-9A-2.03(a)(6). Person Appointed signs below or attach second sheet with all General Partners signing. Date Typed or Printed Name of Person Appointed to Wind Up Signature of Person Appointed to Wind Up (For SOS Office Use Onl y ) American LegalNet, Inc. www.FormsWorkFlow.com DOMESTICLIMITEDLIABILITYLIMITEDPARTNERSHIP(LLLP)STATEMENTOFDISSOLUTIOND3LPDissolution01/2019Page2of2 ThenameoftheGeneralPartner: StreetAddressofGeneralPartner: SignatureofGeneralPartnerThenameoftheGeneralPartner: StreetAddressofGeneralPartner: SignatureofGeneralPartnerThenameoftheGeneralPartner: StreetAddressofGeneralPartner: SignatureofGeneralPartnerThenameoftheGeneralPartner: StreetAddressofGeneralPartner: SignatureofGeneralPartner 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