District of Columbia Government Corporations Division Application for Certificate of Cancellation for Foreign Limited Liability Partnership Form FLLP-4, Version 2, July 2010. Use this form (FLLP-4) to cancel a certificate of authority for a Foreign Limited Liability Partnership. ENTITY TYPE Foreign Limited Liability Partnership FILING FEE Refer to Corporate Fee Schedule posted online; Under the provisions of the District of Columbia Uniform Partnership Act of 1996, We, the undersigned partners, present this Application for Cancellation of Foreign Limited Liability Partnership for filing. 1a. Entity Name 1b. Date of filing of certificate of authority 2. Reason for filing the certificate of cancellation 3. Partnership executive office address All Partners, authorized by a majority in interest, must sign below. (Attach sheet if required.) 4. Partner executing this form 5. Signature 6. Partner executing this form 7. Signature 8. Partner executing this form 9. Signature 10. Partner executing this form 11. Signature If you sign this application, you agree that you understand that anyone who makes a false statement anywhere on it can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC § 22-2405. Mail all forms and required payment to: Department of Consumer and Regulatory Affairs Corporations Division PO Box 92300 Washington, DC 20090 Phone: (202) 442-4400 Please check dcra.dc.gov to view organizations required to register, to search business names, to get step-by-step guidelines to register an organization, to search registered organizations, and to download forms and documents. Just click on "Corporate Registrations." American LegalNet, Inc. www.FormsWorkFlow.com