THE  TATES                                                                                           COR 
               of                                                                               FOR DIVISION USE ONLY 
                ALASKA 
               Department of Commerce, Community, and Economic Development 
               Division of Corporations, Business and Professional Licensing 

  Corporations Section 
  PO Box 110806, Juneau, AK 99811-0806 
  Phone: (907) 465-2550 • Fax: (907) 465-2974 
  Email: Corporations@Alaska.Gov  
  Website: Corporations.Alaska.Gov          

Statement of Cancellation 

Foreign Limited Liability Partnership                                                                               AS 32.06 
 This Statement of Cancellation is only for a Foreign Limited Liability Partnership. Once filed, the entity will be placed into a
  “Withdrawn” status.
 This form will not be filed if the official signing this form does not match an official on record for this entity, and/or if your
  entity’s biennial report is not current. Verify your entity’s status and current information online at: Corporations.Alaska.Gov,
  click Search Corporations Database.
 Standard processing time for complete and correct filings submitted to this office is approximately 10-15 business days (2-3
  weeks). All filings are reviewed in the date order they are received.
 Make checks and money orders payable to the State of Alaska or use the attached credit card payment form.
 The information you submit is a public record and will be posted online at Corporations.Alaska.Gov
Important: A person authorized by this chapter to file a statement may amend or cancel the statement by filing an amendment or 
cancellation that names the partnership, identifies the statement, and states the substance of the amendment or cancellation. – AS 
32.06.970(d) 

PART I         Payment of Fees                                                                                      3 AAC 16.055

Required Fee:             Nonrefundable Filing Fee                                                                   $25.00 

PART II        Entity Information                                                                         AS 32.06.970(d)

Entity Name:  

Alaska Entity 
Number: 

PART III  Attestations                                                                         AS 32.06.970, AS 32.06.970(d) 
By submitting this form, I am confirming:  
  The entity is in good standing 
  All biennial reports due have been filed and paid.       
  The Limited Liability Partnership is not transacting business in Alaska.        
  The Limited Liability Partnership surrenders its authority to transact business in Alaska. 
  The Limited Liability Partnership revokes the authority of the registered agent in Alaska and consents that service of process 
  may subsequently be made on the Limited Liability Partnership by service on the Commissioner. 
To verify the entity’s status and reports, go to Corporations.Alaska.Gov and click on Search Corporations Database. 

08-534 (Rev. 11/0 /2021)8                          F-LLP Statement of Cancellation                                   Page 1 of 2 

PART IV       Service of Process                                                                                      AS 32.06.970(d)
Provide the name and address where the Commissioner may mail any service of process against the Foreign LLP. 
Per Part III, the authority of the registered agent in Alaska is revoked. Do not list the registered agent in Alaska. 
                                                        Entity or Individual 
Full Legal Name:  
                         Street                            City                    State                                Zip 
Physical Address:   
                    P.O. Box or Street                     City                   State                                 Zip 
Mailing Address:  

PART V        Signatures                                                               AS 32.06.970(c), 10.06.825

The Statement of Cancellation must be executed by at least two Partners. 
Per AS 10.06.825, persons who sign documents filed with the Commissioner which are known to the person to be false in 
material respects are guilty of a class A misdemeanor. 

Partner 
                                                                                Title: 
Printed Name: 

Partner 
                                                                                Date:  
Signature:   
Partner  
                                                                                Title: 
Printed Name: 

Partner 
                                                                                Date:  
Signature:   

IMPORTANT: Remember to notify other sections of this division when appropriate: 
 Business Licensing Section: BusinessLicense.Alaska.Gov
  Submit Business License: Request to Cancel form (#08-4732) to cancel any business licenses associated with this entity.
 Professional Licensing Section:        ProfessionalLicense.Alaska.Gov
  Email License@Alaska.Gov for more information and appropriate forms.

08-534 (Rev. 11/08/2021)                 F-LLP Statement of Cancellation                                               Page 2 of 2 

                  THE  TATES                                                                         COR 
                  of                                                                           FOR DIVISION USE ONLY 
                   ALASKA 
                  Department of Commerce, Community, and Economic Development 
                  Division of Corporations, Business and Professional Licensing 

  Corporations Section 
  PO Box 110806, Juneau, AK 99811-0806 
  Phone: (907) 465-2550 • Fax: (907) 465-2974 
  Email: Corporations@Alaska.Gov  
  Website: Corporations.Alaska.Gov       

Contact Information  

 Return this form with your filing.
 This information may be used by the Division to assist with processing your attached filings.
 This form will not be filed for record or appear online.

PART I          Entity Information 
Enter your entity information as it appears on this filing. 

Entity Name:  

Alaska Entity 
Number: 

PART II       Contact Information 
Whom may we contact with any questions or problems with this filing?  

Company:   

Contact Person:  
                   P.O. Box or Street                          City                    State     Zip 
Mailing Address:  

Phone Number:                                                        Email Address:  

PART III      Document Return Address 
  Return my filings to the address provided ABOVE. 

  Return my filings to the address provided BELOW: 

Company: 

Contact Person: 
                   P.O. Box or Street                          City                    State     Zip 
Mailing Address:  

08-561 (Rev. 11/08/2021)                                      Contact Information                Page 1 of 1 

              THE  TATE S                                                                                                  FOR DIVISION USE ONLY 
                of 
                  ALASKA 
              Department of Commerce, Community, and Economic Development 
              Division of Corporations, Business and Professional Licensing 

        State of Alaska 
        Department of Commerce, Community, and Economic Development 
        Division of Corporations, Business and Professional Licensing 
        PO Box 110806, Juneau, AK 99811 
        Phone: (907) 465-2550 

Credit Card Payment Form 

All major credit cards are accepted. For security purposes, do not email credit card information. 
Include this credit card payment form with your application.  

Name of Applicant or Licensee:      _________________________________________________________________________________________________________________________ 

Program Type:   ________________________________________________________       License Number (if applicable):                      ________________________________ 

 I wish to make payment by credit card for the following(check all that apply):                                                                    AMOUNT    

        Application Fee:  _________________________________________________________________________________________________                __________________________ 

        License or Renewal Fee:     _________________________________________________________________________________                      __________________________ 

        Other (name change, wall certificate, fine, duplicate license, exam, etc.):        

           1. _____________________________________________________________________________________________________________________ __________________________ 

           2. _____________________________________________________________________________________________________________________        __________________________

                                                                                               TOTAL:            ___________________________ 

Name (as shown on credit card):   ________________________________________________________________________________________________________________________ 

Mailing Address:            ___________________________________________________________________________________________________________________________________________________ 

Phone Number:   ________________________________________________________      Email (optional):               _______________________________________________________ 

Signature of Credit Card Holder:              _____________________________________________________________________________________________________________________ 

 08-4438                   Rev 12/26/18                   Credit Card Payment Form (all major cards accepted) 

   CREDIT CARD INFO:  Your payment cannot be processed unless all fields are completed! 

   1.    Account Number:                                                                                      All four fields MUST 
                                                                                                                                    be completed! 
   2.    Expiration Date:
                                                                                                              This section will be 
   3.    Billing ZIP Code:
                                                                                                              destroyed after the 
   4.    Security Code:                                                                                       payment is processed.