PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS Certificate of Withdrawal (15 Pa.C.S.) From Limited Partnership (§ 8524) By General Partner-Limited Partnership (§ 8532) Document will be returned to the name and address you enter to the left. Name Address City State Zip Code Fee: $70 In compliance with the requirements of 15 Pa.C.S. § 8524 (relating to person erroneously believing himself a limited partner) or any other applicable provision of Chapter 85 (relating to limited partnerships), the undersigned person who erroneously believed itself to be a limited partner, or the undersigned limited partner named in a Certificate of Limited Partnership, or 15 Pa.C.S. § 8532(b) (relating to certificate of withdrawal), the undersigned general partner of a limited partnership, desiring to evidence withdrawal from a limited partnership, or to withdraw as a limited partner from a limited partnership or as a general partner from a limited partnership, hereby certifies that: 1. The name of the limited partnership is: 2. The date of filing of the original Certificate of Limited Partnership is: 3. Check one of the following: For Withdrawal from Limited Partnership Only: The name of the person withdrawing is: For Withdrawal by General Partner-Limited Partnership Only: The name of the person withdrawing as a general partner is: IN TESTIMONY WHEREOF, the undersigned person has caused this Certificate of Withdrawal to be executed this day of , . __________________________ Name of Person __________________________ Signature __________________________ Title American LegalNet, Inc. www.FormsWorkFlow.com Department of State Bureau of Corporations and Charitable Organizations P.O. Box 8722 Harrisburg, PA 17105-8722 (717) 787-1057 web site: www.dos.state.pa.us/corps Instructions for Completion of Form: A. Typewritten is preferred. If not, the form shall be completed in black or blue-black ink in order to permit reproduction. The filing fee for this form is $70 made payable to the Department of State. B. This form shall be executed for the following purposes: 1. By each entity designated in the form as withdrawing from the partnership or withdrawing as a general partner from the partnership. 2. A limited partner named in the Certificate of Limited Partnership withdraws from the limited partnership without amendment of the Certificate of Limited Partnership. 3. Withdrawal as a limited partner without amendment of the Certificate of Limited Partnership or by a person who erroneously believes himself to be a limited partner. 4. Withdrawal by a general partner without amendment of the Certificate of Limited Partnership. If this form is executed by an individual or by multiple parties, the execution portion of the form should be modified accordingly. C. Under 15 Pa.C.S. § 8524(a) the person withdrawing shall send a copy of the filed certificate of withdrawal to the limited partnership. D. This form and all accompanying documents shall be mailed to the above stated address. American LegalNet, Inc. www.FormsWorkFlow.com