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 WITHDRAWAL OF (Insert Name of New York Registered Foreign Limited Liability Partnership) Under Section 121-1502(e) of the Partnership Law FIRST: The name of the New York registered foreign limited liability partnership is: . If the name of the New York registered foreign limited liability partnership has been changed, the name under which it was registered is: . SECOND: The date the original notice of registration was filed with the Department of State is: . THIRD: The jurisdiction in which it is registered as a limited liability partnership is: . FOURTH : The address of the New York registered foreign limited liability partnership’s principal office is: . FIFTH: The New York registered foreign limited liability partnership acknowledges that this withdrawal terminates its status as a New York registered foreign limited liability partnership. (Signature of Partner) (Print or Type Name of Signer) DOS-1531 (Rev. 4/08) -1American LegalNet, Inc. www.FormsWorkflow.com CERTIFICATE OF WITHDRAWAL OF (Insert Name of New York Registered Foreign Limited Liability Partnership) Under Section 121-1502(e) of the Partnership Law Filer’s Name: Address: City, State and Zip Code: Note: This form has been prepared by the New York State Department of State for filing a certificate of withdrawal for a New York registered foreign limited liability partnership. This form does not contain all optional provisions under the law. 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. This certificate must be accompanied by a fee of $60 made payable to the Department of State. (For DOS Use Only) -2American LegalNet, Inc. www.FormsWorkflow.com