Form 563 Prescribed by the: Expedite this form: (select one) Mail form to one of the following: Ohio Secretary of State Expedite Central Ohio: (614) 466-3910 Toll Free: (877) SOS-FILE (767-3453) PO Box 1390 Columbus, OH 43216 *** Requires an additional fee of $100 *** Non Expedite www.sos.state.oh.us Busserv@sos.state.oh.us PO Box 1329 Columbus, OH 43216 Certificate of Limited Partnership Cancellation / Limited Partnership Cancellation Amendment Filing Fee: $50 (CHECK ONLY ONE (1) BOX) (1) Limited Partnership Cancellation (2) Foreign (132-FPC) Domestic (133-LPC) Limited Partnership Cancellation Amendment (101-LPN) Name of Limited Partnership Registration Number Complete the information in this section if Foreign is checked in box (1) A Foreign Limited Partnership, formed under the laws of the jurisdiction of and registered to transact business in Ohio on certifies that said Foreign Partnership is no longer transacting business in Ohio and hereby states that said Foreign Limited Partnership surrenders its authority to transact business in Ohio. Complete the information in this section if Domestic is checked in box (1) The date of the first filing of the certificate of limited partnership Date And if different, the date of the first filing by the partnership with the secretary of state pursuant to Ohio Revised Code Section 1782.63 Date Reason for filing certificate of cancellation Form 563 Page 1 of 5 Last Revised: 12/01/2008 American LegalNet, Inc. www.FormsWorkflow.com Complete the information in this section if Domestic is checked in box (1) Cont. Effective Date (Optional) Date (The cancellation is effective upon the filing of the certificate or on a later date specified.) 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 business, residence, or mailing address of each liquidating trustee must be provided. Name Address 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 Name of Liquidating Trustee(s) Address the following liquidating trustee(s) has/have ceased to serve as such Name of Former Liquidating Trustee(s) Address the address of a named liquidating trustee has changed Name of Liquidating Trustee Form 563 New Address Page 2 of 5 Last Revised: 12/01/2008 American LegalNet, Inc. www.FormsWorkflow.com By signing and submitting this form to the Ohio Secretary of State, the undersigned hereby certifies that he or she has the requisite authority to execute this document on behalf of the partnership above. REQUIRED Must be authenticated (signed) by at least one general partner. Signature Date Print Name Signature Date Print Name Signature Date Print Name Form 563 Page 3 of 5 Last Revised: 12/01/2008 American LegalNet, Inc. www.FormsWorkflow.com Instructions for Certificate of Limited Partnership Cancellation / Limited Partnership Cancellation Amendment This form should be used to cancel a certificate limited partnership or amend a cancellation of a certificate of limited partnership. To cancel a certificate of limited partnership, please select box 1 and indicate if the limited partnership is registered as a domestic or foreign partnership. Pursuant to Ohio Revised Code §1782.10, a certificate of limited partnership must 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. To amend a cancellation of a certificate of limited partnership, please select box 2. Pursuant to Ohio Revised Code §1782.10(D), 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 reflecting that: (1) a new liquidating trustee is named; (2) a liquidating trustee ceases to serve as such; or (3) the address of a liquidating trustee changed. Limited Partnership Name and Registration Number The name and registration number of the limited partnership must be provided. Foreign Limited Partnership Cancellation For foreign limited partnerships only, please provide the home state of organization and the date the f i limited d t th foreign li it d partnership registered i Ohi Th f i li it d partnership must th t hi i t d in Ohio. The foreign limited t hi t then turn to page 3 of the form and complete the signature portion according to the instructions below. Domestic Limited Partnership Cancellation For domestic limited partnerships only, please provide the date of 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 §1782.63 of the Revised Code. The domestic limited partnership must provide the reason for filing the certificate of cancellation. An effective date may be provided but is not required. The effective date will be the date of filing or a later date specified in the certificate of cancellation. If a person(s) other than a general partner shown on the certificate of limited partnership is winding up the limited partnership’s affairs, the name and the business, residence, or mailing address of the liquidating trustee(s) must be provided. Limited Partnership Cancellation Amendment For a domestic limited partnership, please complete the section on page 2 of the form to indicate an amendment to the certificate of cancellation. The amendment may indicate a new liquidating trustee has been named, a liquidating trustee has ceased to serve as such, or the address of a liquidating trustee has changed. Please check the appropriate box to indicate the amendment type and provide the name and address of the liquidating trustee or former liquidating trustee as applicable. Form 563 Page 4 of 5 Last Revised: 12/01/2008 American LegalNet, Inc. www.FormsWorkflow.com Additional Provisions If the information you wish to provide for the record does not fit on the form, please attach additional provisions on a single-sided, 8 1/2 x 11 sheet(s) of paper. Signature(s) After completing all information on the filing form, please make sure that the form is signed by at least one general partner. **Note: Our office cannot file or record a document that contains a social security number or tax identification number. Please do not enter a social security number or tax identification number, in any format, on this form. Form 563 Page 5 of 5 Last Revised: 12/01/2008 American LegalNet, Inc. www.FormsWorkflow.com