LP-103 (10/94) New Jersey Division of Revenue Certificate of Cancellation of a Limited Partnership ( Title NJSA 42:2A ­ 1 8 ) 1. Name of Limited Partnership: 2. Limited Partnership Number: 3. Date of filing the Certificate of Limited Partnership: 4. The Reasons for filing the Certificate of Cancellation are: A Certificate of Cancellation must be signed by all General Partners. Signature Signature Signature Signature Signature Signature (If more space is needed, attach an additional sheet) Date: Date: Date: Date: Date: Date: NJ Division of Revenue, PO Box 308, Trenton, NJ 08625 American LegalNet, Inc. www.USCourtForms.com Rev 7/05 Instructions for Form LP-103 CERTIFICATE OF CANCELLATION DOMESTIC LIMITED PARTNERSHIP (Title 42:2A) STATUTORY FEE: $75 The MANDATORY fields are: Field # 1 -- Business Name List the name as it appears on the records of the State Treasurer. Field # 2 ­ Limited Partnership Number Provide the 10-digit business entity identification number issued by the State of New Jersey. Field # 3 ­ Date of Filing Enter the date of formation or authorization in New Jersey. Field # 4 -- Reason For Filing Specify the reason for filing the cancellation. EXECUTION (DATE/SIGNATURE) The signature of all general partners is required. If there is no existing general partner, have the limited partner(s) sign in accordance with Title 42:2A. Also, list the date of execution (signature). ********** These documents should be filed in duplicate. Non-profits should file in triplicate. All annual report obligations should be satisfied prior to submitting the dissolution paperwork. Make checks payable to: TREASURER, STATE OF NEW JERSEY. (No cash, please) Mail to: NJ Division of Revenue, PO Box 308, Trenton, NJ 08646 American LegalNet, Inc. www.USCourtForms.com