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State of New Hampshire
Form FP-5 RSA 305-A:5

Filing fee: $35.00 Use black print or type.

STATEMENT OF WITHDRAWAL OF A FOREIGN PARTNERSHIP

PURSUANT TO THE PROVISIONS OF CHAPTER 305-A, SECTION 5 OF THE NEW HAMPSHIRE REVISED STATUTES ANNOTATED, THE UNDERSIGNED HEREBY SUBMITS THE FOLLOWING STATEMENTS FOR THE PURPOSE OF WITHDRAWING THE REGISTRATION: FIRST: The name of the foreign partnership is . SECOND: It was organized under the laws of THIRD: The post office address of its principal office therein is . FOURTH: The street address (including zip code and post office box, if any) of its registered office in New Hampshire is and the name of its registered agent at that address is FIFTH: Said partnership hereby surrenders its authority to do business in the State of New Hampshire. . .

Signature of general partner Type or print name

Date signed:

DISCLAIMER: All documents filed with the Corporate Division become public records and will be available for public inspection in either tangible or electronic form. Mail fee with DATED AND SIGNED ORIGINAL to: Corporate Division, Department of State, 107 North Main Street, Concord, NH 03301-4989.
Form FP-5 (4/2009)