FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS Attached is a form to file a Statement of Termination for a Florida limited partnership or limited liability limited partnership. A dissolved limited partnership or limited liability limited partnership may file a Statement of Termination after it has completed winding up its affairs. The Statement of Termination must be prepared in compliance with s. 620.1203, Florida Statutes, and filed with the Florida Department of State. The statement must be signed by all general partners or the person appointed pursuant to s. 620.1803(3) or (4), F.S., and contain the following information: (1) (2) (3) The name of the limited partnership or limited liability limited partnership; The date of filing of the certificate of limited partnership; and A statement that the limited partnership or limited liability limited partnership has completed winding up its affairs and wishes to file a statement of termination. The fee to file the termination is $52.50. Certified copies of the termination are $52.50 each. You should total all fees and forward one check made payable to the Florida Department of State for the total amount. Please include a cover letter containing your telephone number, return address and certification requirements, or complete the attached cover letter. STREET ADDRESS: Registration Section Division of Corporations Clifton Building 2661 Executive Center Circle Tallahassee, FL 32301 MAILING ADDRESS: Registration Section Division of Corporations P. O. Box 6327 Tallahassee, FL 32314 For further information, you may contact the Registration Section at (850) 245-6051. CR2E110 (01/06) American LegalNet, Inc. www.USCourtForms.com COVER LETTER TO: Registration Section Division of Corporations SUBJECT: (Name of Florida Limited Partnership or Limited Liability Limited Partnership) The enclosed Statement of Termination 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) Enclosed is a check for the following amount: $52.50 Filing Fee $61.25 Filing Fee and Certificate of Status $105.00 Filing Fee and Certified Copy $113.75 Filing Fee, Certified Copy, and Certificate of Status STREET ADDRESS: Registration Section Division of Corporations Clifton Building 2661 Executive Center Circle Tallahassee, FL 32301 MAILING ADDRESS: Registration Section Division of Corporations P. O. Box 6327 Tallahassee, FL 32314 American LegalNet, Inc. www.USCourtForms.com STATEMENT OF TERMINATION FOR (Name of Florida Limited Partnership or Limited Liability Limited Partnership) Pursuant to the provisions of section 620.1203, Florida Statutes, this Florida limited partnership or limited liability limited partnership, whose certificate was filed with the Florida Department of State on , hereby submits this Statement of Termination. The limited partnership or limited liability limited partnership has completed winding up its affairs and wishes to file a statement of termination. Signatures of each general partner or the person appointed pursuant to s. 620.1803(3) or (4), F.S.: Filing Fee: Certified Copy (optional): Certificate of Status (optional): $52.50 $52.50 $8.75 American LegalNet, Inc. www.USCourtForms.com