Free Fillable Certificate of Withdrawal Form - New York

New York State Department of State Division of Corporations, State Records & UCC One Commerce Plaza, 99 Washington Avenue Albany, NY 12231 www.dos.state.ny.us

CERTIFICATE OF WITHDRAWAL OF
(Insert Name of Domestic Registered Limited Liability Partnership)

Under Section 121-1500(f) of the Partnership Law

FIRST: The name of the registered limited liability partnership is:
. If the name of the registered limited liability partnership has been changed, the name under which it was registered is: .

SECOND: The date the certificate of registration was filed with the Department of State is:
.

THIRD: The address of the registered limited liability partnership's principal office is:
.

FOURTH: The registered limited liability partnership acknowledges that this withdrawal
terminates its status as a registered limited liability partnership.

(Signature of Partner)

(Print or Type Name of Signer)

DOS-1530 (Rev. 4/08)

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CERTIFICATE OF WITHDRAWAL OF
(Insert Name of Domestic Registered Limited Liability Partnership)

Under Section 121-1500(f) of the Partnership Law

Filer's Name: Address: City, State and Zip Code:

Note: This form has been prepared by the New York State Department of State for filing a certificate of withdrawal for a domestic registered limited liability partnership. This form does not contain all optional provisions under the law. You are not required to use this form. You may draft your own form or use forms available at legal stationery stores. The Department of State recommends that legal documents be prepared under the guidance of an attorney. This certificate must be accompanied by a fee of $60 made payable to the Department of State. (For DOS Use Only)

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