Prepare, sign, and submit with an original signature and filing fee. This is the minimum information required. STATE OF MONTANA (This space for Secretary of State use only) AFFIDAVIT of CANCELLATION of DOMESTIC or FOREIGN LIMITED LIABILITY PARTNERSHIP 35-10-721, MCA MAIL: LINDA McCULLOCH Secretary of State P.O. Box 202801 Helena, MT 59620-2801 (406) 444-3665 (406) 444-3976 sos.mt.gov PHONE: FAX: WEB SITE: Required Filing Fee: No fee 24 Hour Priority Handling check box and Add $20.00 1 Hour Expedite Handling check box and Add $100.00 Folder ID Number: _____________ The folder number begins with a "P" and may be Make checks payable to Secretary of State. referenced at https://www.mtsosfilings.gov. If the document is hand written, please print legibly or the application may be denied. 1. The complete name and business mailing address of the Limited Liability Partnership to be canceled: Name: ____________________________________________________________________________________________________ Business Mailing Address: ____________________________________________________________________________________ City: ___________________________________________________ State: ___________ Zip Code:__________________________ 2. 3. The state, tribe, or country of jurisdiction: _______________________________________________________________________ The names and business mailing addresses of the partners: (For additional names and addresses attach a separate sheet of paper.) __________________________________________________________________________________________________________ Name Business Mailing Address __________________________________________________________________________________________________________ Name Business Mailing Address __________________________________________________________________________________________________________ Name Business Mailing Address 4. I, HEREBY SWEAR AND/OR AFFIRM, under penalty of law, including criminal prosecution, that the facts contained in this document are true. __________________________________________________________________________ __________________________________________________________________________ Signatures of at least two Partners are required. 5. ____________________________ Date ____________________________ Date Daytime Contact: Phone ______________________________ Email ________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com sos.mt.gov/Business/Forms 16-Cancellation_of_Domestic_or_Foreign_Limited_Liability_Partnership Revised: 09/2016