FLORIDA DEPARTMENT OF STATE  
                         DIVISION OF CORPORATIONS 
 
Attached is a form to file a Statement of Termination for a Florida limited partnership or 
limited liability limited partnership. 
 
A dissolved limited partnership or limited liability limited partnership may file a 
Statement of Termination after it has completed winding up its affairs. 
 
The Statement of Termination must be prepared in compliance with s. 620.1203, Florida 
Statutes, and filed with the Florida Department of State. 
 
The statement must be signed by all general partners or the person appointed pursuant to 
s. 620.1803(3) or (4), F.S., and contain the following information: 
 
 (1)  The name of the limited partnership or limited liability limited partnership; 
 (2)  The date of filing of the certificate of limited partnership; and 
 (3)  A statement that the limited partnership or limited liability limited 
      partnership has completed winding up its affairs and wishes to file a  
      statement of termination.  
 
The fee to file the termination is $52.50.  Certified copies of the termination are $52.50 
each.  You should total all fees and forward one check made payable to the Florida 
Department of State for the total amount. 
 
Please include a cover letter containing your telephone number, return address and 
certification requirements, or complete the attached cover letter. 
 
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 
 
For further information, you may contact the Registration Section at (850) 245-6051. 
 
CR2E110 (01/06) 

                             COVER LETTER 
                                                                  
TO: Registration Section 
    Division of Corporations 
 
SUBJECT:                                                                                      
            (Name of Florida Limited Partnership or Limited Liability Limited Partnership) 
                                                                  
The enclosed Statement of Termination 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) 
 
Enclosed is a check for the following amount: 
 
☐ $52.50 Filing Fee ☐ $61.25 Filing Fee                          ☐ $105.00 Filing Fee ☐ $113.75 Filing Fee, 
                    and Certificate of                           and Certified Copy   Certified Copy, and 
                    Status                                                            Certificate of Status 
 
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 
 

              STATEMENT OF TERMINATION 
                                   FOR 
                                          
   (Name of Florida Limited Partnership or Limited Liability Limited Partnership) 
                                         
Pursuant to the provisions of section 620.1203, Florida Statutes, this Florida limited 
partnership or limited liability limited partnership, whose certificate was filed with the 
Florida Department of State on                              , hereby submits this 
Statement of Termination. 
 
The limited partnership or limited liability limited partnership has completed winding up 
its affairs and wishes to file a statement of termination. 
 
Signatures of each general partner or the person appointed pursuant to  
s. 620.1803(3) or (4), F.S.: 
 
Filing Fee:                       $52.50 
Certified Copy (optional):        $52.50 
Certificate of Status (optional): $8.75