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. 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: 
                                                               (Email provided will receive filing evidence) 
                                                               *May list multiple email addresses

Checklist 
          Filing Fee: $50.00   Make check or money order payable to Wyoming Secretary of State. 
          Please submit one originally signed document. 
          The business entity is active and in good standing with this office.  
          Typical processing time is 3-5 business days following the date of receipt in our office.  
    Please review form prior to submitting to the Secretary of State to ensure all areas have been 
          completed to avoid a delay in the processing of your documents. 

RLLP-Withdrawal - Revised August 2019