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Certificate of Withdrawal of Limited Liability Partnership-Domestic (Tennessee)

This is a statement of withdrawal of a registered domestic limited liability partnership in Tennessee. The form provided here is simply a sample of what the actual Form SS 4485 looks like.

For Office Use Only


Corporate Filings
312 Eighth Avenue North
6th Floor, William R. Snodgrass Tower
Nashville, TN 37243

Pursuant to the Tennessee Uniform Partnership Act, Section 61-1-143(f)(1), the undersigned general partner(s) hereby execute(s) the following certificate of withdrawal:

1. The name of the limited liability partnership is:


2. The filing date of the certificate of limited liability partnership was:


3. If the document is not to be effective upon filing by the Secretary of State, the delayed effective date of withdrawal is:

___________________________, ___________________________ (date).

___________________________ (time).

[NOTE: A delayed effective date may not be later than the 90th day after this document is filed by the Secretary of State.]

4. Any additional information determined necessary by the undersigned:


Signature Date ___________________________

Signature ___________________________

Signer's Capacity __________________________

Name (typed or printed) __________________________

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