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                                                                                                       New York State 
                                                                                                    Department of State 
                                                                                                    DIVISION OF CORPORATIONS, 
                                                                                                    STATE RECORDS AND  
                                                                                                    UNIFORM COMMERCIAL CODE 
                                                                                                    One Commerce Plaza 
                                                                                                    99 Washington Ave. 
                                                                                                    Albany, NY 12231-0001 
                                                                                                       www.dos.ny.gov 

                         CERTIFICATE OF WITHDRAWAL  

                                        OF 
 
                         (Insert Name of New York Registered Foreign Limited Liability Partnership) 
                                 Under Section 121-1502(e) of the Partnership Law 
 
 FIRST:           The name of the New York registered foreign limited liability partnership is: 

                                                                                                         . 
 If the name of the New York registered foreign limited liability partnership has been changed, the 
 name under which it was registered is: 
  
                                                                                                         . 
 SECOND: The date the original notice of registration was filed with the Department of State is: 
                                                                                                        
                                                                                                                                                                .               
 THIRD: The jurisdiction in which it is registered as a limited liability partnership is: 
  
                                                                                 . 
 FOURTH                  : The address of the New York registered foreign limited liability partnership’s principal 

 office is:                                                                                                                                                . 

 FIFTH:           The New York registered foreign limited liability partnership acknowledges that this 
 withdrawal terminates its status as a New York registered foreign limited liability partnership. 
 
                X 
  (Signature of Partner) 
 
  (Print or Type Name of Signer) 

 DOS-1531-f (Rev. 04/17)                                                                               Page 1 of 2



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                              CERTIFICATE OF WITHDRAWAL 

                                                         OF 
 
                              (Insert Name of New York Registered Foreign Limited Liability Partnership) 
                                                             
                                 Under Section 121-1502(e) of the Partnership Law 
 
 Filer’s Name and Mailing Address: 

      Name: 

      Company, if Applicable: 

      Mailing Address:

      City, State and Zip Code: 

  NOTES:  
  1. The name of the New York registered foreign limited liability partnership and the state the original notice of 
      registration was filed with the Department of State must exactly match the records of the Department of State. 
      This information should be verified on the Department of States website atwww.dos.ny.gov. 
  2. This form has been prepared by the New York State Department of State for filing a certificate of withdrawal for a  
      New York registered foreign limited liability partnership. You are not required to use this form. You may draft your  
      own form or use forms available at legal stationery stores.  
  3. The Department of State recommends that legal documents be prepared under the guidance of an attorney.  
  4. This certificate must be accompanied by a fee of $60 made payable to the Department of State. 
   
 (For DOS Use Only) 

 DOS-1531-f (Rev. 04/17)                                                                                             Page 2 of 2






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