Free $25.00 - Alaska

Department of Commerce, Community, and Economic Development Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110808 Juneau AK 99811-0808

STATEMENT OF DISSOLUTION
Limited Liability Partnership
Pursuant to the provisions of the Alaska Statutes, the undersigned partner or partnership hereby files a Statement of Dissolution canceling its filed statement of partnership authority. 1. The partner listed below has dissolved and is winding up business: Name of the Limited Liability Partnership Alaska Entity #:

A statement filed by a partnership must be executed by at least two partners or by a partner and another person authorized in the Statement of Partnership Authority. An individual who executes a statement as, or on behalf of, a partner or other person named as a partner in a statement shall personally declare under penalty of perjury that the contents of the statement are accurate. A person who files a statement shall promptly send a copy of the statement to every nonfiling partner and to any other person named as a partner in the statement. Failure to send a copy of a statement to a partner or other person does not limit the effectiveness of the statement as to a person who is not a partner.

Signature of Partner or Authorized Person

Printed Name

Title

Date

If you have specific legal questions or concerns about this filing, you are strongly advised to consult an attorney or other professional to assist you. Mail the completed Statement of Dissolution and the $25.00 filing fee (in U.S. dollars) to: State of Alaska Corporations Section PO Box 110808 Juneau, AK 99811 For additional information or forms please visit our web site at: www.corporations.alaska.gov

08-508 (Rev. 09/05)alh

-1-