STATEMENT OF DISSOLUTION
IMPORTANT Read instructions before completing this form.
1. NAME OF PARTNERSHIP: 2. SECRETARY OF STATE FILE NUMBER:
3. THE ABOVE NAMED PARTNERSHIP HAS DISSOLVED AND IS WINDING UP ITS BUSINESS. (DO NOT ALTER THIS STATEMENT)
4. OTHER MATTERS, IF ANY (ATTACH ADDITIONAL PAGES IF NECESSARY):
5. NUMBER OF PAGES ATTACHED, IF ANY:
THIS SPACE FOR FILING USE ONLY
6. I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT
THE FOREGOING IS TRUE AND CORRECT.
DOCUMENT #
SIGNATURE OF PARTNER DATE EXECUTED
TYPE OR PRINT NAME OF PARTNER COUNTY AND STATE EXECUTED
SIGNATURE OF PARTNER DATE EXECUTED
TYPE OR PRINT NAME OF PARTNER
COUNTY AND STATE EXECUTED
7. RETURN TO:
NAME:
ADDRESS:
CITY: STATE: ZIP CODE:
State of California
Secretary of State Form GP-4
Clear Form
Print Form
INSTRUCTIONS FOR COMPLETING THE STATEMENT OF DISSOLUTION (FORM GP-4)
For easier completion, this form is available on the Secretary of State's website at
http://www.sos.ca.gov/business/ and can be viewed, filled in and printed from your computer.
The completed form can be mailed to Secretary of State, Document Filing Support Unit, P.O.
Box 944225, Sacramento, CA 94244-2250 or delivered in person to the Sacramento office, 1500
11th Street, 3rd Floor, Sacramento, CA 95814. If you are not completing this form online,
please type or legibly print in black or blue ink. This form is only filed in the Sacramento
office.
Statutory filing provisions are found in California Corporations Code section 16805. All statutory
references are to the California Corporations Code, unless otherwise indicated.
A Statement of Partnership Authority (Form GP-1) must be filed with the Secretary of State of
California prior to filing a Statement of Dissolution (Form GP-4).
FEES: There is no fee for filing a Statement of Dissolution (Form GP-4). However, there is a $15.00
special handling fee for processing a document delivered in person to the Sacramento office. The
special handling fee must be remitted by separate check for each submittal and will be retained
whether the document is filed or rejected. The preclearance and/or expedited filing of a document
within a guaranteed time frame can be requested for an additional fee (in lieu of the special handling
fee). Please refer to the Secretary of State’s website at http://www.sos.ca.gov/business/precexp.htm
for detailed information regarding preclearance and expedited filing services. The special handling fee
or preclearance and expedited filing services are not applicable to documents submitted by mail.
Check(s) should be made payable to the Secretary of State.
COPIES: The Secretary of State will certify two copies of the filed document without charge,
provided th
at the copies are submitted to the Secretary of State with the document to be filed. Any
additional copies submitted will be certified upon request and payment of the $8.00 per copy
certification fee.
Complete the Statement of Dissolution (Form GP-4) as follows:
Item 1. Enter the name of the partnership as filed with the Secretary of State of California.
Item 2. Enter the file number issued to the partnership by the Secretary of State of California.
Item 3. Execution of this document confirms the following statement, which has been preprinted on
this form and should not be altered: “THE ABOVE NAMED PARTNERSHIP HAS
DISSOLVED AND IS WINDING UP ITS BUSINESS”.
Item 4. The partnership may include other information, as desired. Attach additional pages, if
necessary, and enter the number of pages attached in Item 5.
Item 5. Enter the number of pages attached, if any.
Item 6. The Statement of Dissolution (GP-4) shall be executed with original signatures as provided
in Sections 16105(c) and 16805(a).
Item 7. Enter the name and mailing address of the person or firm to whom a copy of the filing is to
be returned.
GP-4 (REV 03/2005)