COVER LETTER 
                                                                  
TO: Registration Section 
    Division of Corporations 
 
SUBJECT:                                                                                                                
      (Name of Florida Limited Partnership or Limited Liability Limited Partnership) 
                                                                  
DOCUMENT NUMBER:                                                                                                        
 
The enclosed Statement of Dissociation and fee(s) are submitted for filing. 
 
Please return all correspondence concerning this matter to: 
 
                                             (Contact Person) 
 
                                             (Firm/Company) 
 
                                                   (Address) 
                                                                  
                                      (City, State and Zip Code) 
 
For further information concerning this matter, please call: 
                                                                   
                                                                 at (  )                                                
               (Name of Contact Person)                                       (Area Code and Daytime Telephone Number) 
 
☐   $52.50 Filing Fee                                        ☐   $105.00 Filing Fee and Certified Copy. 
 
Mailing Address:                                                      Street Address: 
Registration Section                                                  Registration Section 
Division of Corporations                                              Division of Corporations 
P.O. Box 6327                                                         The Centre of Tallahassee 
Tallahassee, FL 32314                                                 2415 N. Monroe Street, Suite 810 
                                                                      Tallahassee, FL 32303 
 
CR2E118 (01/06) 

                      STATEMENT OF DISSOCIATION 
                                    FOR 
                       GENERAL PARTNER 
                                          OF 
LIMITED PARTNERSHIP OR LIMITED LIABILITY LIMITED PARTNERSHIP 
                                           
Pursuant to the provisions of section 620.1605, Florida Statutes, the undersigned general 
partner hereby dissociates from the following limited partnership or limited liability 
limited partnership: 
 
1.  The name of Limited Partnership or Limited Liability Limited Partnership is: 
 
                                                                                          . 
 
2.  The name of the dissociating general partner is: 
 
                                                                                          . 
 
Signature of Dissociating General Partner 
 
Filing Fee:           $52.50 
Certified Copy (optional):  $52.50