STATE OF ALABAMA 

FOREIGN LIMITED LIABILITY PARTNERSHIP 
STATEMENT OF WITHDRAWAL (LLP) 

PURPOSE: In order to cancel (terminate/withdraw) the registration of a Foreign Limited Liability Partnership 
(hereinafter “foreign entity”) to transact business in Alabama, the entity must deliver to the Secretary of State for filing a 
Statement of Withdrawal along with a Certificate of Compliance obtained from the Alabama Department of Revenue 
(ADOR) - see item #7 - pursuant to Section 10A-1-7.11, Code of Alabama 1975.   

INSTRUCTIONS: Mail 2 copies of this completed form along with a self-addressed, stamped envelope to:
*Secretary of State, Business Services, P.O. Box 5616, Montgomery, Alabama 36103.
*Include a check, money order, or credit card payment for the $100.00 processing fee.
*The request is only accepted via mail or courier and will not be accepted via email.
*You may file the withdrawal online in the time it takes to type this request.
*Your filing will not be indexed if the credit/debit card does not authorize and will be removed from the index if the
check is dishonored ($30 fee).

                      This form must be typed and will not be accepted via email.

1. Alabama Entity ID Number (Format: 000-000-000):           000   -          -        TO OBTAIN ID NUMBER            ,
   go to our website atwww.sos.alabama.gov,   click on Business Services (below picture), click on Business Entity
   and Name Search, click on Entity Name, enter the name of the entity in the appropriate box, and enter. Click on the 
   number and verify that this is the correct entity. This step is strongly recommended.

2. The legal name of the foreign entity as currently registered with the Alabama Secretary of State:

3. Entity’s jurisdiction of formation:

4. Street (No PO Boxes ) address of principal office:

   Mailing address (if different) 

                                                                                          (For SOS Use Only) 

This form was prepared by: (type name and full address) 

Foreign LLP Statement of Withdrawal - 1/202         2 Page 1 of 2 

FOREIGN LIMITED LIABILITY PARTNERSHIP 
STATEMENT OF WITHDRAWAL (LLP) 

5. The above named foreign entity hereby certifies that the entity is no longer transacting business in Alabama and that it
   surrenders its registration to transact business in Alabama.

6. The above named foreign entity hereby certifies that any money due or accrued to the State of Alabama has been paid
   or that arrangements have been made for payment (attach copy of payment arrangements).

7. The original Certificate of Compliance from the Alabama Department of Revenue is attached.
   [To obtain Certificate ,go to  https://www.alabamainteractive.org/ador_tax_compliance/welcome.action  or call
   ADOR/Commissioner’s Office at 334-242-1189 and request a document showing that all applicable taxes and fees
   due the State of Alabama have been paid.]

8. The above named foreign entity hereby revokes the authority of the entity’s registered agent in Alabama to accept
   service of process and consents that service of process in any action, suit, or proceeding stating a cause of action
   arising in Alabama during the time the foreign entity was authorized to transact business may be made on the
   foreign entity in accordance with the Alabama Rules of Civil Procedure and any other service or demand
   required or permitted by law to be served on the entity may be served in a manner similar to the procedure
   provided for the service of process by the Alabama Rules of Civil Procedure.

9. The mailing address to which  the Secretary of State of Alabama may mail a copy of any process served:

10. The above named foreign entity hereby makes a commitment that if the mailing address stated above changes the
   foreign entity will promptly file an address  mendmenta to this Certificate of Withdrawal .

   /    /
Date                                             Typed name and title of  ignature s elowb

                                                 Signature of person  uthorizeda to  ignsper 10A-1-4.01

Foreign LLP Statement of Withdrawal - 1/202  2                                                Page 2 of 2 

Secretary of State Credit Card or Prepaid Payment Option/Return/Hold Sheet: If you do not send an 
acknowledgement copy and a pre-addressed postage paid envelope with the filing you will not receive a receipt from 
the Secretary of State’s Office. Hold for pickup request will have the receipt attached. The document of record will 
be stamped showing the receipt of the filing fee but will not show convenience fees (generally these fees are between 
2% and 5% of the total charge). 

                   Information MUST be typed or filing will be returned without review. 

Entity Name: 

AL Entity ID #, required for all filings other than formation/registration:    000 -      - 
                                                                               (ex: 000-000-000)
Service Requested:            4X$100.00 Withdrawal fee 

Hold at Front Desk for pick-up by:  
                                                   There is no notification service/call for pick-up.        

                                        Choose one of the following: 

      Check/money order is attached-Please make one check payable for each filing to the Alabama Secretary of 
      State. Do not use one check for multiple filings. 

      Charge fees to prepaid account: Account Number 

           and Account Name   

              Typed Name & Signature of Authorized Individual on Account 

     Credit Card Type:                             (Visa, MC, Discover & AmEx) 

     Card Number:                                       Expiration Mo/Yr.:              /         (MM/YY) 

     Card Holder Name:   

     Complete Billing Address: 
                                        Street or PO Box 

      City                                              State                               Zip   

  Signature of Card Holder: 
                                                   MUST be Signature of Card Holder 

Foreign Withdrawal Credit Card Payment Slip - 1/2022