Expedite this Form: Prescribed by: The Ohio Secretary of State Central Ohio: (614) 466-3910 Toll Free: 1-877-SOS-FILE (1-877-767-3453) (Select One) Mail Form to one of the Following: Yes PO Box 1390 Columbus, OH 43216 *** Requires an additional fee of $100 *** www.sos.state.oh.us e-mail: busserv@sos.state.oh.us No PO Box 1028 Columbus, OH 43216 Certificate of Cancellation / Cancellation Amendment Withdrawal of Limited Partnership or Partnership Having Limited Liability (Domestic or Foreign) Filing Fee $50.00 (CHECK ONLY ONE (1) BOX) (1) Limited Partnership (2) Cancellation Domestic (133-LPC) Foreign (132-FPC) Limited Partnership (3) Cancellation Amendment Withdrawal of Partnership Having Limited Liability (156-PLW) Date of Withdrawal (101-LPN) (Date) Complete the general information in this section for the box checked above. Name of Partnership Registration Number Complete the information in this section if Domestic is checked in box (1). Date of initial filing (Date) Date of filing with Secretary of State (Date) Reason for filing certificate of cancellation The effective date of cancellation: ( please check/complete one of the following) Upon Filing of Certificate of Cancellation (Date) (Please note that the effective date of cancellation cannot precede or be earlier than the date of filing) Is a person other than any general partner reflected on the certificate of limited partnership winding up the limited partnership's affairs? Yes No (Please check applicable box) If "Yes" was checked above, the name and the business, residence or mailing address of each liquidating trustee must be listed in the following space: Name Street Address City/State/Zip ( If insufficient space for this item, please attach a separate sheet) 563 Page 1 of 3 Last Revised: May 2002 American LegalNet, Inc. www.FormsWorkflow.com Complete the information in this section if Domestic is checked in box (1) Cont. Other ( Optional ) (If insufficient space for this item, and you are filing by paper submission, please attach a separate sheet(s): this portion of the certificate may not exceed three (3) additional pages, ORC 1782.10(B)(6)) Complete the information in this section if Foreign is checked in box (1). A Foreign Limited Partnership, formed under the laws of the state or country of certifies that said Foreign Limited Partnership is not longer transacting business in the State of Ohio and hereby states that said Foreign Limited Partnership surrenders its authority to transact business in Ohio. and registered to transact business in Ohio on Complete the information in this section if box (2) is checked. The amendment is submitted for the following reason(s): a new liquidating trustee(s) has/have been named (if this box has been checked, please complete the following): If space for trustees is insufficient, and you are filing by paper submission, please attach a separate sheet containing the additional names and addresses Name and Address the following liquidating trustee(s) has/have ceased to serve as such (if this box has been checked, please complete the following): If space for trustees is insufficient, and you are filing by paper submission, please attach a separate sheet containing the additional names and addresses Name and address of former liquidating trustee(s): 563 Page 2 of 3 Last Revised: May 2002 American LegalNet, Inc. www.FormsWorkflow.com Complete the information in this section if box (2) is checked Cont. the address of a named liquidating trustee has changed (if this box has been checked, please complete the following): If space for trustees is insufficient, and you are filing by paper submission, please attach a separate sheet containing the additional names and addresses Name of liquidating trustee REQUIRED Must be authenticated (singed) by an authorized representative (See Instructions) New address Date Authorized Representative Date Authorized Representative 563 Authorized Representative Date Page 3 of 3 Last Revised: May 2002 American LegalNet, Inc. www.FormsWorkflow.com Instructions for Cancellation/Cancellation Amendment Withdrawal of Limited Partnership or Partnership Having Limited Liability I Limited Partnership A. Domestic 1. A certificate of limited partnership shall be canceled upon the dissolution and the commencement of the winding up of the partnership or at any other time there are no limited partners. 2. A certificate of cancellation shall be filed with the secretary of state on a form prescribed by the secretary of state. It shall set forth all the following: a. The name of the limited partnership and the file number assigned to it by the secretary of state; b. The date of the first filing of its certificate of limited partnership and, if different, the date of the first filing by the partnership with the secretary of state pursuant to section 1782.63 of the ORC. c. The reason for filing the certificate of cancellation; d. The effective date of cancellation, which shall be a date certain that is not earlier than the date of filing, if it is not to be effective upon the filing of the certificate; e. If a person other than any shown on a certificate of limited partnership as a general partner is winding up the limited partnership's affairs, the name and the business, residence, or mailing address of each liquidating trustee; f. Any other information the persons filing the certificate wish to include, provided that the portion of the certificate containing the other information shall not exceed three additional pages. B. Foreign 1. A foreign limited partnership may cancel its registration by filing with the secretary of state a certificate cancellation, which shall be on a form prescribed by the secretary of state and shall be signed by a general partner. A cancellation does not terminate the authority of the secretary of state to accept service of process on the foreign limited partnership with respect to causes of action arising out of the transactions of business in this state. II Amendment A. If a person other than any shown on a certificate of limited partnership as a general partner is winding up the affairs of the limited partnership, each liquidating trustee shall execute and file a certificate of cancellation. B. Within thirty days after the occurrence of any of the following events, an amendment to a certificate of cancellation reflecting the occurrence of the event shall be filed with the secretary of state on a form prescribed by the secretary. III Withdrawal A. Registration as a registered partnership having limited liability is effective, unless voluntarily withdrawn by filing with the secretary of state a written withdrawal notice executed by a majority in interest of the partners or by one or more partners authorized by the partnership to execute a withdrawal notice. American LegalNet, Inc. www.FormsWorkflow.com