COMMONWEALTH OF VIRGINIA UPA-139 STATE CORPORATION COMMISSION (10/01) STATEMENT OF CANCELLATION OF REGISTRATION AS A FOREIGN REGISTERED LIMITED LIABILITY PARTNERSHIP The undersigned present(s) this statement for filing pursuant to 50-73.139 of the Code of Virginia.1. The name of the registered limited liability partnership is: ______________________________________________________________________________________________________________________________________________________________________________________.2. The date of filing of the initial statement of registration in Virginia was _______________________________, (month, day, year)SCC ID number ________________________________________. 3. The state or other jurisdiction of formation is _______________________________________.4. The authority of ___________________________________________________________________________ (name of registered agent) to accept service of process is revoked and the Clerk of the Commission is appointed as agent for service ofprocess in any action, suit or proceeding based upon any cause of action arising during the time the partnership wasauthorized to transact business in Virginia. 5. The address where the Clerk of the Commission may mail process is: ______________________________________________________________________________________________________________________________________________________________________________________.Signed this ___________ day of ________________, 20 ______. The undersigned individual(s) personally declare(s) under penalty of perjury that the contents of thisstatement are accurate. Signatures of at least two partners of a partnership or one or more authorized general partners of a limitedpartnership: ________________________________________ _____________________________________________________________________________________ _____________________________________________ (printed name) (printed name) INSTRUCTIONS ON THE REVERSE >>>> 2 INSTRUCTIONS 50-73.83 of the Code of Virginia requires that this statement be in the English language (except the partnershipname), typewritten or printed in black, legible and reproducible and that the person who files this statement promptlysend a copy of the statement to every nonfiling partner and to any other person named as a partner in thestatement. Submit the original statement of cancellation (withdrawal) of a foreign registered limited liability partnership to theClerk of the State Corporation Commission, PO Box 1197, Richmond, VA 23218-1197, or 1300 East Main Street, st Tyler Building, 1 Floor, Richmond, Virginia 23219, along with a check for the filing fee in the amount of $25.00payable to the State Corporation Commission. PLEASE DO NOT SEND CASH . If you have any questions, pleasecall (804) 371-9733 or toll-free in Virginia, 1-866-722-2551. If you have Internet access, you can download this form. Go to www.state.va.us/ scc; click on Divisions; then pointto Corporations and click on Office of the Clerk; then Forms and Fees; then Registered Limited LiabilityPartnership Forms and Fees; and then Form UPA-139.