Fillable State of North Carolina Department of the Secretary (North Carolina Secretary of State)

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State of North Carolina Department of the Secretary (North Carolina Secretary of State)

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BUSINESS REGISTRATION DIVISION P.O.BOX 29622 RALEIGH, NC 27626-06222
(Revised August, 2017) (Form LLLP-03)
State of North Carolina
Department of the Secretary of State
CERTIFICATE OF CANCELLATION
Registered Limited Liability Limited Partnership
Pur
suant to §59-210(f) of the General Statutes of North Carolina, the undersigned hereby submits this Certificate
of Cancellation for the purpose of cancelling its registration as a Registered Limited Liability Limited Partnership.
1. The
name of the limited liability limited partnership as reflected on the application for registration:
_______________
____________________________________________________________________________
2. The date of filing of the application for registration that is to be cancelled:________________________________
3. Th
is cancellation will be effective upon filing, unless a date and/or time is specified: _______________________
Th
is the _______day of _______________, 20________.
_________
______________________________
_________
______________________________
Signature
_________
______________________________
Type or Print Name and Title
Notes:
1. The filing fee for this document is $25.00.
2. This document must be filed with the Secretary of State.
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BUSINESS REGISTRATION DIVISION P.O.BOX 29622 RALEIGH, NC 27626-06222
(Revised August, 2017) (Form LLLP-03)
Instructions for Completing Certificate of Cancellation
(Form LLLP-03)
1. This application must be executed by at least one general partner.
2. The original executed Certificate of Cancellation, along with the $25.00 filing fee, should be filed with
the Business Registration Division at the address below:
Department of the Secretary of State
Post Office Box 29622
Raleigh, North Carolina 27626-0622
3. If the Certificate of Cancellation is properly completed, the Secretary of State will file the Certificate
and return a conformed copy stamped with the effective date of filing.
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State of North Carolina Department of the Secretary (North Carolina Secretary of State)

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Completed 24 November 2020

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