COVER LETTER TO: Registration Section Division of Corporations SUBJECT: (Name of Florida Limited Partnership or Limited Liability Limited Partnership) DOCUMENT NUMBER: The enclosed Statement of Dissociation and fee(s) are submitted for filing. Please return all correspondence concerning this matter to: (Contact Person) (Firm/Company) (Address) (City, State and Zip Code) For further information concerning this matter, please call: at ( (Name of Contact Person) ) (Area Code and Daytime Telephone Number) $52.50 Filing Fee STREET ADDRESS: Registration Section Division of Corporations Clifton Building 2661 Executive Center Circle Tallahassee, FL 32301 CR2E118 (01/06) $105.00 Filing Fee and Certified Copy. MAILING ADDRESS: Registration Section Division of Corporations P. O. Box 6327 Tallahassee, FL 32314 American LegalNet, Inc. www.USCourtForms.com STATEMENT OF DISSOCIATION FOR GENERAL PARTNER OF LIMITED PARTNERSHIP OR LIMITED LIABILITY LIMITED PARTNERSHIP Pursuant to the provisions of section 620.1605, Florida Statutes, the undersigned general partner hereby dissociates from the following limited partnership or limited liability limited partnership: 1. The name of Limited Partnership or Limited Liability Limited Partnership is: . 2. The name of the dissociating general partner is: . Signature of Dissociating General Partner Filing Fee: $52.50 Certified Copy (optional): $52.50 American LegalNet, Inc. www.USCourtForms.com