DO NOT STAPLE Form LP 203 January 2008 Filing Fee: $25 Submit in duplicate. Payment must be made by certified check, cashier’s check, Illinois attorney’s check, Illinois C.P .A.’s check or money order, payable to Secretary of State. Please do not send cash. Department of Business Services Limited Liability Division 501 S. Second St., Rm. 357 Springfield, IL 62756 217-785-8960 www.cyberdriveillinois.com Correspondence regarding this filing will be sent to the registered agent of the Limited Partnership unless a selfaddressed, stamped envelope is included. Illinois Secretary of State Department of Business Services Statement of Termination of the Certificate of Limited Partnership (Illinois Limited Partnership) Please type or print clearly. 1. Limited Partnership Name: ______________________________________________________________________ 2. File Number assigned by Secretary of State: ________________________________________________________ 3. Date of filing initial Certificate of Limited Partnership: ________________________________________________ 4. Federal Employer Identification Number (F.E.I.N.): __________________________________________________ 5. Address, including County, to which the Secretary of State may mail a copy of any process against the Limited Partnership that may be served on him/her (P .O. Box only is unacceptable): ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ Printed by authority of the State of Illinois. April 2008 — 200 — CLP 4.8 American LegalNet, Inc. www.FormsWorkflow.com Form LP 203 Names and Business Addresses of all General Partners The undersigned affirms, under penalties of perjury, that the facts stated herein are true. All General Partners are required to sign the Statement of Termination. 1. Signature 2. Name and Title (type or print) Signature Name and Title (type or print) General Partner Name if corporation or other entity General Partner Name if corporation or other entity Street Address City, State, ZIP County , 3. Street Address City, State, ZIP County , Signature Name and Title (type or print) General Partner Name if corporation or other entity 4. Signature Name and Title (type or print) General Partner Name if corporation or other entity Street Address Street Address City, State, ZIP County , City, State, ZIP County , Signatures must be in black ink on an original document. Carbon copy, photocopy or rubber stamp signatures may only be used on conformed copies. Printed by authority of the State of Illinois. April 2008 — 200 — CLP 4.8 American LegalNet, Inc. www.FormsWorkflow.com