Wyoming Secretary of State 
                           Herschler Building East, Suite 101 
                                    122 W 25th Street                                    For Office Use Only 
                                   Cheyenne, WY 82002-0020 
                                    Ph. (307) 777-7311 
                                   Email: Business@wyo.gov  

                           Foreign Registered Limited Liability Partnership 
                                          Withdrawal of Registration  
1. Name of the registered limited liability partnership:
  (Name must match exactly to the Secretary of State’s records.)

2. State or other jurisdiction under the laws of which govern the partnership agreement and under which it is 
registered as a limited liability partnership:
                                              (State or country) 
3. The partnership is not transacting business in Wyoming and surrenders its registration to transact business in
Wyoming.

4. It revokes the authority of its registered agent to accept service on its behalf and appoints the Secretary of State as
its agent for service of process in any proceeding based on a cause of action arising during the time it was authorized
to transact business in this state.

5. A mailing address to which the Secretary of State may mail a copy of any process served on him in his capacity as
agent for such registered limited liability partnership:

6. This statement of withdrawal has been executed by one (1) or more partners authorized to execute a statement of
withdrawal.

Signature: __________________________________                                            Date: 
                                                                                               (mm/dd/yyyy) 
Print Name:                                          Title: 

Signature: __________________________________                                            Date: 
                                                                                               (mm/dd/yyyy) 
Print Name:                                          Title: 

Contact Person:                                                     Email: 

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

  Checklist 
   Filing Fee: $60.00 Make check or money orderpayable           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.

FRLLP-Withdrawal – Revised June 2021