New York StateDepartment of State DIVISION OF CORPORATIONS, STATE RECORDS AND UNIFORM COMMERCIAL CODE One Commerce Plaza 99 Washington Ave. Albany, NY 12231-0001 www.dos.ny.govCERTIFICATE OF RESIGNATION FOR RECEIPT OF PROCESS OF (Insert Name of Limited Partnership) Under Section 121-104-A of the Revised Limited Partnership Act FIRST: The name of the limited partnership is: . SECOND: [Check one] The certificate of limited partnership application for authority was filed in the Department of State on: . THIRD: The undersigned is the party whose address has been designated by the limited 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 limited partnership. This party wishes to resign. The address for service of process, as designated by the limited partnership, is: . FOURTH: [check one statement] The limited partnership has a registered agent, but this party is not the registered agent of the limited 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 limited partnership. The limited 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 limited partnership known to this party. The limited partnership has no registered agent and no address of the limited partnership is known to this party. Attached to this certificate is the affidavit of this party stating that a diligent, but unsuccessful, search was made to locate the limited partnership, specifying what efforts were made. Page 1 of 2 DOS-1395-f (Rev. 04/17) American LegalNet, Inc. www.FormsWorkFlow.com FIFTH:The designating limited partnership is required to deliver to the Department of State a certificate of amendment or change providing for the designation by the limited 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. X (Signature) (Type or Print Name) (Type or Print Title) CERTIFICATE OF RESIGNATION FOR RECEIPT OF PROCESS OF (Insert Name of Limited Partnership) Under Section 121-104-A of the Revised Limited Partnership Act Filer222s Name and Mailing Address: Name: Company, if Applicable: Mailing Address: City, State and Zip Code: NOTES: 1. The name of the limited partnership and the date of filing of its certificate of limited partnership or application for authority must exactly match the records of the Department of State. This information should be verified on the Department of State222s website at www.dos.ny.gov. 2. This form was prepared by the New York State Department of State for filing a certificate of resignation for receipt of process. You are not required to use this form. You may draft your own form or use forms available at legal stationery stores. 3. The Department of State recommends that legal documents be prepared under the guidance of an attorney. 4. This certificate must be accompanied by a fee of $10 made payable to the Department of State. (For office use only) DOS-1395-f (Rev. 04/17) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com