New York State Department of State Division of Corporations, State Records & Uniform Commercial Code One Commerce Plaza, 99 Washington Avenue Albany, NY 12231 www.dos.state.ny.us CERTIFICATE OF RESIGNATION FOR RECEIPT OF PROCESS OF (Insert Name of New York Registered Foreign Limited Liability Partnership) Under Section 121-1506(b) of the Partnership Law FIRST: The name of the New York registered foreign limited liability partnership is: . SECOND: The jurisdiction in which the foreign limited liability partnership is registered is: State on: . The notice of registration was filed in the Department of . THIRD: The undersigned is the party whose address has been designated by the New York registered foreign limited liability partnership as the post office address to which the Secretary of State shall mail a copy of any process served upon the Secretary of State as agent of the New York registered foreign limited liability partnership. This party wishes to resign. The address for service of process, as designated by the New York registered foreign limited liability partnership, is: . FOURTH: [check one] The New York registered foreign limited liability partnership has a registered agent, but this party is not the registered agent of the New York registered foreign limited liability partnership. Sixty days prior to the filing of this certificate of resignation for receipt of process, this party sent a copy of the certificate of resignation for receipt of process by registered or certified mail to the address of the registered agent of the New York registered foreign limited liability partnership. The New York registered foreign limited liability partnership has no registered agent. Sixty days prior to the filing of this certificate of resignation for receipt of process, this party sent a copy of the certificate of resignation for receipt of process by registered or certified mail to the last address of the New York registered foreign limited liability partnership known to this party. DOS-1529 (Rev. 4/08) -1- American LegalNet, Inc. www.FormsWorkflow.com The New York registered foreign limited liability partnership has no registered agent and no address of the New York registered foreign limited liability partnership is known to this party. Attached to this certificate is an affidavit of this party stating that a diligent, but unsuccessful, search was made to locate the New York registered limited liability partnership, specifying what efforts were made. FIFTH: The designating New York registered foreign limited liability partnership is required to deliver to the Department of State a certificate of amendment or change providing for the designation by the New York registered foreign limited liability partnership of a new address for service of process and that upon its failure to file such certificate, its authority to do business in this state shall be suspended. (Signature) (Name of Signer) (Title of Signer) CERTIFICATE OF RESIGNATION FOR RECEIPT OF PROCESS OF (Insert Name of New York Registered Foreign Limited Liability Partnership) Under Section 121-1506(b) of the Partnership Law Filed by: (Name) (Mailing address) (City, State and Zip code) NOTE: This form was prepared by the New York State Department of State for filing a certificate of resignation for receipt of process by a New York registered foreign limited liability partnership. You are not required to use this form. You may draft your own form or use forms available at legal stationery stores. The Department of State recommends that legal documents be prepared under the guidance of an attorney. The certificate must be submitted with a $10 filing fee made payable to the Department of State. (For office use only) -2- American LegalNet, Inc. www.FormsWorkflow.com