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 $100.00 and you will receive a stamped Filed copy of your submitted document. A certified copy may be requested for an additional $30. Ee available. Please contact our office xpedited services ar 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 accomany the Certificate p 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 imbe legible, we request portant that the execution 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 dont hesitate to call us at (302) 739- 3073. S incerely, D epartment of State Division of Corporations encl. rev. 06/04 >>>> 2 STATE OF DELAWARE STATEMENT OF CANCELLATION 1. The name of the limited liability partnership is __________________________ _________________________________________________________________. 2. The original date of filing the limited liability partnership is _________________ _________________________________________________________________. 3. The reason for filing the statement of cancellation _______________________ _______________________________________________________________. 4. Any other information the person filing the statement of cancellation determines to insert_________________________________________________________ _______________________________________________________________. IN WITNESS WHEREOF , the undersigned have executed this Statement of Cancellation this ______ day of ________________________, A.D. ______. By:_____________________________ Authorized Partner(s)/Person Name:___________________________ Print or Type