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 Limited Partnership Dear Sir or Madam: Enclosed is the Statement of Cancellation of a Delaware Limited Liability Limited Partnership to be filed in accordance with the Limited Liability Partnership Act of the State of Delaware. The fee to file the Certificate is $200.00. Please make your check payable to “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 important that the execution be legible, we request 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 don’t hesitate to call us at (302) 7393073. Sincerely, Department of State Division of Corporations encl. rev. 06/04 American LegalNet, Inc. www.FormsWorkflow.com STATE OF DELAWARE STATEMENT OF CANCELLATION 1. The name of the limited liability limited partnership is ______________________ _________________________________________________________________. 2. The original date of filing the limited liability limited partnership is ___________ _________________________________________________________________. 3. 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 American LegalNet, Inc. www.FormsWorkflow.com