Instructions: SS-9429 1 | Page Instructions: Form SS-9429 Certificate of Cancellation of Registration Following Administrative Revocation Limited Partnership - Foreign Business Services Division Tre Hargett, Secretary of State State of Tennessee Submission Options A Certificate of Cancellation of Registration Following Administrative Revocation of a Limited Partnership (Foreign) may be filed using one of the following methods: Paper submission: A blank Certificate of Cancellation of Registration Following Administrative Revocation of a Limited Partnership (Foreign) may be obtained by going to sos.tn.gov and entering SS- 9429 in the search bar; by emailing the Secretary of State at TNSOS.CORPINFO@tn.gov , or by calling (615) 741-2286. The Certificate of Cancellation of Registration Following Administrative Revocation of a Limited Partnership (Foreign) should be typed or hand printed in dark blue or black ink. Walk-in: A blank Certificate of Cancellation of Registration Following Administrative Revocation of a Limited Partnership (Foreign) may be obtained in person at the Secretary of State222s Office at the address listed below. If submitting by mail, send the completed form and filing fee together in the same envelope. Mail to: Tennessee Secretary of State ATTN: Corporate Filing 312 Rosa L. Parks Ave FL 6 Nashville TN 37243 Fill in form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. The filing office cannot give legal advice. Completing the Form A Certificate of Cancellation of Registration Following Administrative Revocation of a Limited Partnership (Foreign) provisions are set forth in the Tennessee Uniform Limited Partnership Act, T.C.A. Title 61, Chapter 3, Part 10. 1. The Secretary of State Control Number is: Enter the control number assigned to the Limited Partnership. To find entity information, including the Secretary of State control number, visit: https://tnbear.tn.gov/ECommerce/FilingSearch.aspx American LegalNet, Inc. www.FormsWorkFlow.com Instructions: SS-9429 2 | Page 2. The name of the business entity at the time of revocation is: Enter the exact legal name of the Limited Partnership as it was listed on the records of the Tennessee Secretary of State at the time of revocation. To find entity information, including the exact legal name, visit: https://tnbear.tn.gov/ECommerce/FilingSearch.aspx . If different, the name under which the certificate of authority was obtained is: Enter the exact legal name under which the certificate of authority was obtained. 3. The Date of Revocation is: Enter the date (month/day/year) of revocation of the foreign limited partnership registration. 4. The State or Country Under Whose Law it is Formed is: Enter the name of the jurisdiction under the laws of which the foreign limited partnership is formed. 5. The Limited Partnership is not transacting business in the State of Tennessee and surrenders its authority to transact business in this state. 6. Please Mark the Applicable Statement: Mark (a) if the foreign limited partnership will continue its registered office in the State of Tennessee or (b) if the foreign limited partnership will revoke the authority of its registered agent to accept service on its behalf and appoint the Tennessee Secretary of State as its agent for service of process in any proceeding based on a cause of action arising during the time it was authorized to transact business in the state. NOTE: If marking (b), enter the complete mailing address to which the Tennessee Secretary of State may mail a copy of any process served on him. 7. The undersigned Limited Partnership makes the commitment to notify the Tennessee Secretary of State in the future of any change in its mailing address. NOTE: Prior to this document being accepted for filing, the Business Services Division will request tax clearance verification for cancellation from the Tennessee Department of Revenue. If we cannot obtain such tax clearance verification from the Department of Revenue, this document will be rejected and returned to the applicant. To obtain the Tax Clearance for Cancellation, contact the Tennessee Department of Revenue at 615-253-0700. Signature The Certificate of Cancellation of Registration Following Administrative Revocation of a Limited Partnership (Foreign) must be signed by a partner of the Limited Partnership. The partner executing the document must sign and date the form in the appropriate spaces. Type or print the signature name and title of the signer. Filing Fee The filing fee is $100.00. Make check, cashier222s check or money order payable to the Tennessee Secretary of State. Cash is only accepted for walk-in filings. Forms submitted without the proper filing fee or made payable to an entity other than the Tennessee Secretary of State will be rejected. American LegalNet, Inc. www.FormsWorkFlow.com Tre Hargett en-USSecretary of Stateen-USDivision of Business Servicesen-USDepartment of Stateen-USState of Tennesseeen-USATTN: Corporate Filingen-US312 Rosa L. Parks Ave, 6th FLen-USNashville, TN 37243-1102en-US(615) 741-2286en-USen-USSS-9429 en-USFiling Fee: $100.00 en-USCERTIFICATE OF CANCELLATION OF REGISTRATION FOLLOWING en-USADMINISTRATIVE REVOCATION (LIMITED PARTNERSHIP)en-USPursuant to the provisions of T.C.A. Title 61, Chapter 3, Part 10 of the Tennessee Uniform Limited en-USPartnership Act, the undersigned general partner executes the following cancellation of registration en-USfollowing administrative revocation: en-USen-US þ þ en-US / þ en-US / þ þ þ þ en-US3. The date of revocation is:en-US en-USen-US þ en-USen-US en-USen-US en-USen-US en-USen-USen-USen-USen-USen-US þ en-USen-USSS-9429 (Rev.02/18)en-USen-USRDA 2135en-USPage 1 of 2en-USen-US en-USen-US en-USAddress: en-USen-USST: en-USZip Code: American LegalNet, Inc. www.FormsWorkFlow.com Tre Hargett en-USSecretary of Stateen-USDivision of Business Servicesen-USDepartment of Stateen-USState of Tennesseeen-USATTN: Corporate Filingen-US312 Rosa L. Parks Ave, 6th FLen-USNashville, TN 37243-1102en-US(615) 741-2286en-USen-USSS-9429 en-USFiling Fee: $100.00 en-USCERTIFICATE OF CANCELLATION OF REGISTRATION FOLLOWING en-USADMINISTRATIVE REVOCATION (LIMITED PARTNERSHIP)en-USen-USen-USen-USen-USRevenue at 615-253-0700.en-USDateen-USSignature en-US en-US en-USPhone #: () en-US-en-US en-USSS-9429 (Rev.02/18)en-USen-USRDA 2135en-USPage 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com