Free Withdrawal of Registration - Wyoming

Wyoming Secretary of State
State Capitol Building, Room 110 200 West 24th Street Cheyenne, WY 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: [email protected]

For Office Use Only

Registered Limited Liability Partnership Withdrawal of Registration
1. Name of the registered limited liability partnership:

2. Date of filing of the initial statement of registration in the Office of the Secretary of State on:
(Date ­ mm/dd/yyyy)

3. Reason for filing the statement of withdrawal:

4. Effective date of withdrawal, if it is not to be effective on the filing of the statement of withdrawal, provided that any effective day other than the date of filing of the statement of withdrawal shall be a date subsequent to the filing:
(Date ­ mm/dd/yyyy)

5. This statement of registration has been executed by one (1) or more partners authorized to execute a statement of registration.
Date:
(mm/dd/yyyy)

Signature: _____________________________________________ Print Name: Title:

Date:
(mm/dd/yyyy)

Signature: _____________________________________________ Print Name: Title:

Date:
(mm/dd/yyyy)

Signature: _____________________________________________ Print Name: Title:

Contact Person: Daytime Phone Number:
Checklist Filing Fee: $50.00 Make check or money order payable to Wyoming Secretary of State. Please submit one originally signed document and one exact photocopy of the filing. Please review form prior to submitting to the Secretary of State to ensure all areas have been completed to avoid a delay in the processing of your documents.
RLLP-Withdrawal - Revised 12/2008