State of Alaska Department of Commerce, Community, and Economic Development Corporations, Business, and Professional Licensing Corporations Section PO Box 110808 Juneau AK 99811-0808 APPLICATION FOR CERTIFICATE OF CANCELLATION Limited Partnership Pursuant to Alaska Statutes, an application for cancellation filed by a limited partnership must state: 1. Name of the limited partnership: Alaska Entity #: 2. The date of filing of the certificate of limited partnership: 3. The reason for filing the certificate of cancellation: 4. The effective date, which must be a date certain, of cancellation if it is not to be effective upon the filing of the certificate of cancellation: 5. Other information the general partners filing the certificate determine: 08-467 (Rev. 08/05) alh -1- American LegalNet, Inc. www.USCourtForms.com The certificate of cancellation shall be signed by all general partners. Signature of General Partner Printed Name Date Signature of General Partner Printed Name Date Signature of General Partner Printed Name Date Signature of General Partner Printed Name Date Attach an additional page if necessary. If you have specific legal questions or concerns about this filing, you are strongly advised to consult an attorney or other professional to assist you. Mail the Application for Certificate of Cancellation and the $25.00 filing fee (in U.S. funds) to: State of Alaska Corporations Section PO Box 110808 Juneau AK 99801 For additional information or forms please visit our web site at: www.corporations.alaska.gov 08-467 (Rev. 08/05) alh -2- American LegalNet, Inc. www.USCourtForms.com