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Fill and Sign the Pursuant to the Provisions of the Tennessee Uniform Partnership Act Section 61 1 1003 the Undersigned Limited

Fill and Sign the Pursuant to the Provisions of the Tennessee Uniform Partnership Act Section 61 1 1003 the Undersigned Limited

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Pursuant to the provisions of the Tennessee Uniform Partnership Act, Section 61-1-1003, the undersigned Limited Liability Partnership hereby submits this application: 1. The true name of the Limited Liability Partnership is: \ \ \ 2. The state or country of registration is: \ \ \ \ 3. The Limited Liability Partnership intends to cease transacting business under an assumed Limited Liability Partnership name by cancelling it. \ \ 4. The assumed Limited Liability Partnership name to be cancelled is: \ \ \ \ \ Signature Date Name of Limited Liability Partnership \ \ Signer’s Capacity Signature \ Name (typed or printed) For Of fi ce Use Only APPLICATION FOR CANCELLATION OF ASSUMED LIMITED LIABILITY PARTNERSHIP NAME Corporate Filings 312 Rosa L. Parks Avenue 6 th Floor, William R. Snodgrass Tower Nashville, TN 37243 SS-4494 (Rev. 10/08) Filing Fee $20.00 RDA 2515

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