COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. SOUTH CAROLINA SECRETARY OF STATE Plaintiff(s) : JUDICIAL SUBPOENA APPLICATION FOR CANCELLATION OF AUTHORITY -against: TO TRANSACT BUSINESS IN SOUTH CAROLINA BY A : FOREIGN REGISTERED LIMITED LIABILITY PARTNERSHIP : Defendant(s) TYPE OR PRINT CLEARLY IN BLACK INK : ...................................................... This foreign registered limited liability partnership in accordance with Section 33-41-1190 of the 1976 South Carolina Code of Laws, as amended, applies for a certificate of cancellation, canceling its authority to transact business in South Carolina. THE PEOPLE OF THE STATE OF NEW YORK 1. TO The name of the foreign registered limited liability partnership as filed in South Carolina is _________________________________________________________________________. Date of authorization ____________________ GREETINGS:foreign registered limited liability partnership is formed under the laws of 2. The WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before _________________________________________________________________________. State or Jurisdiction , the Honorable at the Court located at County of 3. The foreign registered limited liability partnership is no longer transacting business in the State in room of South , on the day of , 20 , at o'clock in the noon, and at any recessed Carolina. or adjourned date, to testify and give evidence as a witness in this action on the part of the 4. The foreign registered limited liability partnership surrenders its certificate of authority to transact business in South Carolina. Yourauthority of the foreign registered limited punishable as a contempt of court and for service you liable to 5. The failure to comply with this subpoena is liability partnership's registered agent will make of the party on whose behalf this subpoena was issuedthe foreign registered limited$50 andpartnership sustained as a process in South Carolina is revoked, and for a maximum penalty of liability all damages result of your failure to comply.of process in any action, suit, or proceeding based upon any cause of consents that service action arising in this State may hereafter be made upon the foreign registered limited liability partnership by service thereof upon the South Carolina Secretary of State. Witness, Honorable , one of the Justices of the Court in The addressCounty, a person of mail a copy of any process against the foreign registered day may , 20 6. to which limited liability partnership is _____________________________________________________________________________ Street Address (Attorney must sign above and type name below) ________________________________________________________________________________________________ City State or Jurisdiction Zip Code 7. Attorney(s) for This application for a certificate of cancellation of authority is executed on behalf of the foreign registered limited liability partnership by a person with authority to do so under the laws of the state or other jurisdiction of its formation, or if the foreign registered limited liability partnership is in the hands of a receiver, trustee, or other court-appointed fiduciary, by that fiduciary. Office and P.O. Address Date ______________________ ______________________________________ Signature Telephone No.: Name Facsimile No.: E-Mail Address: Mobile Tel. No.: ______________________________________ Capacity American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : FILING INSTRUCTIONS Index No. Calendar No. 1. Two copies of this form, the original and either a duplicate original or a : conformed copy must be filed. 2. If space on this form is not sufficient, please attach additional sheets containing a reference to the appropriate paragraph -against: in this form, or prepare this using a computer disk, which will allow for expansion of space on the form. 3. This form must be accompanied by the filing fee of $10.00, payable to the Secretary of State. : JUDICIAL SUBPOENA Plaintiff(s) Return to: Secretary of State PO Box 11350 Columbia SC 29211 : Defendant(s) : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK TO GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address LLP-APP FOR CANCELLATION OF AUTHORITY.doc Telephone No.: Facsimile No.: E-Mail Address: Form Revised by South Carolina Secretary of State, January 2000 Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com