PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF CORPORATIONS AND CHARITABLE ...

PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS

Return document by mail to:

Name

Certificate of Cancellation

Limited Partnership

DSCB:15-8513 (rev. 7/2015)

Address

City

State

Zip Code

Return document by email to: ________________________________

*8513*

8513

Read all instructions prior to completing. This form may be submitted online at .

Fee: $70

In compliance with the requirements of 15 Pa.C.S. ? 8513 (relating to certificate of cancellation), the undersigned limited partnership, desiring to cancel its Certificate of Limited Partnership, hereby certifies that:

1. The name of the limited partnership is:

2. The date of filing of the original Certificate of Limited Partnership is: _____________________________

Date (MM/DD/YYYY)

3. Check one of the following: The limited partnership has been dissolved. The limited partnership has no limited partners.

4. Check, and if appropriate complete, one of the following: The cancellation shall be effective upon filing this Certificate of Cancellation in the Department of State.

The cancellation shall be effective on:

at

.

Date

Hour

IN TESTIMONY WHEREOF, the undersigned limited

partnership has caused this Certificate of Cancellation to be

executed this

day of

,

.

Name of Limited Partnership Signature Title

DSCB:15-8513?Instructions

Pennsylvania Department of State Bureau of Corporations and Charitable Organizations

P.O. Box 8722 Harrisburg, PA 17105-8722

(717) 787-1057 Web site: dos.corps

Instructions for Completion of Form:

A. Typewritten is preferred. If handwritten, the form shall be legible and completed in black or blue-black ink in order to permit reproduction. The nonrefundable filing fee for this form is $70 made payable to the Department of State. Checks must contain a commercially pre-printed name and address.

Enter the name and mailing address to which any correspondence regarding this filing should be sent. This field must be completed for the Bureau to return the filing. If the filing is to be returned by email, an email address must be provided. An email will be sent to address provided, containing a link and instructions on how a copy of the filed document or correspondence may be downloaded. Any email or mailing addresses provided on this form will become part of the filed document and therefore public record.

B. This form shall be executed by all general partners or liquidating trustees or, if there is no general partner or liquidating trustee, by a majority in interest of the limited partners, and the execution portion of the form should be modified accordingly.

C. The following, in addition to the filing fee, shall accompany this form:

(1) Tax clearance certificates from the Department of Revenue and from the Bureau of Employment Security of the Department of Labor and Industry evidencing payment of all taxes and charges payable to the Commonwealth.

(2) Any necessary governmental approvals.

D. Tax clearance certificates. A domestic limited partnership may not file a Certificate of Cancellation unless the document is accompanied by tax clearance certificates from the Department of Revenue and the Department of Labor and Industry evidencing the payment by the association of all taxes and charges due the Commonwealth required by law. To obtain these clearance certificates, a Form REV-181 (Application for Tax Clearance Certificate) must be completed and submitted to both the Department of Revenue and the Department of Labor and Industry. The application and instructions may be downloaded from the Department of Revenue website at revenue. or obtained by calling 717-783-6052.

E. This form and all accompanying documents shall be mailed to the address stated above.

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