Free Resignation of Agent for Service of Process - Illinois

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Form LP 116 January 2008
Filing Fee: $50 Submit in duplicate. Payment must be made by certified check, cashier's check, Illinois attorney's check, Illinois C.P .A.'s check or money order, payable to Secretary of State. Please do not send cash. Department of Business Services Limited Liability Division 501 S. Second St., Rm. 357 Springfield, IL 62756 217-785-8960 www.cyberdriveillinois.com Correspondence regarding this filing will be sent to the registered agent of the Limited Partnership unless a selfaddressed, stamped envelope is included.

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Illinois Secretary of State Department of Business Services
Resignation of Agent for Service of Process (Illinois or Foreign Limited Partnership)

Please type or print clearly. 1. Limited Partnership Name:
(must contain "Limited Partnership," "L.P or "LP ." .")

2. Address, including county, of the Principal Office of the Limited Partnership, as such is known to the registered agent:
Street Address (P .O. Box alone is unacceptable.) City, State, ZIP County ,

3. File Number assigned by Secretary of State: 4. Federal Employer Identification Number (F.E.I.N.): 5. Limited Partnership's Registered Agent's Name and Registered Office Address: Registered Agent: Registered Office:
Name Street Address (P .O. Box alone is unacceptable.) City (must be in Illinois), ZIP County ,

6. The registered agent resigns, effective on: ________________________, which is not less than 30 days Date (month, day, year) after the date of filing this form. 7. A copy of this notice has been sent to the principal office of the Limited Partnership at least 10 days prior to the date of its filing with the Secretary of State. Yes Date sent: _________________ No

Printed by authority of the State of Illinois. April 2008 -- 200 -- CLP 1.8

(Form LP 116 Rev. January 2008)

The undersigned affirms, under penalties of perjury, that the facts stated herein are true. __________________________________________________________________________________________________
Signature of Registered Agent

__________________________________________________________________________________________________
Name and Title (type or print)

__________________________________________________________________________________________________
Name of Agent if a corporation or other entity

Signatures must be in black ink on an original document. Carbon copy, photocopy or rubber stamp signatures may only be used on conformed copies.

Printed by authority of the State of Illinois. April 2008 -- 200 -- CLP 1.8