Wyoming Secretary of State 
                              Herschler Building East, Suite 101 
                                                                                  For Office Use Only 
                                   122 W 25th Street 
                                Cheyenne, WY 82002-0020 
                                   Ph. 307.777.7311 
                                  Email: Business@wyo.gov  

                                Registered Limited Liability Partnership 
                                         Withdrawal of Registration  
1. Name of the registered limited liability partnership:

2. Date of filing of the initial statement of registration in the Office of the Secretary of State on:
                                                                                                        (Date – mm/dd/yyyy) 

3. Reason for filing the statement of withdrawal:

4. Future effective date of withdrawal, if it is not to be effective on the filing of the statement of withdrawal, 
provided that any effective day other than the date of filing of the statement of withdrawal shall be a date subsequent 
to the filing:
              (Date – mm/dd/yyyy) 
5. This statement of registration has been executed by one (1) or more partners authorized to execute a statement of
registration.

  Date:                                             Signature: _____________________________________________ 
                (mm/dd/yyyy) 
                                                    Print Name: 

                                                    Title: 

  Date:                                             Signature: _____________________________________________ 
                (mm/dd/yyyy) 
                                                    Print Name: 

                                                    Title: 

Contact Person: 

Daytime Phone Number:                               Email: 
                                                    (An email address is required. Email(s) provided will receive important 
                                                    reminders, notices and filing evidence.)

Checklist 
  Filing Fee: $60.00   Make check or money order payable to Wyoming Secretary of State.           
  Processing time is up to 15 business days following the date of receipt in our office.
  The business entity is active and in good standing with this office.  
  Please mail with payment to the address at the top of this form. This form cannot be accepted via email.
  Please review the form prior to submission. The Secretary of State’s Office is unable to process incomplete forms.

RLLP-Withdrawal - RevisedJune 2021