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Connecticut LLP Renunciation of Status Form

If a limited liability partnership that is registered in the State of Connecticut wishes to conduct a reunification of status, this form has to be used. You are required to complete the form and send it along with a $50 filing fee.

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RENUNCIATION OF STATUS REPORT 
DOMESTIC LIMITED LIABILITY PARTNERSHIP
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS I\
F NECESSARY.
ADDRESS:
CITY:
STATE:ZIP:
FILING PARTY 	(CONFIRMATION WILL BE SENT TO THIS ADDRESS)	:	
NAME:	
FILING FEE: $50 
MAKE CHECKS PAYABLE TO "SECRETARY 
OF THE STATE" 
 	
  1. NAME OF THE LIMITED LIABILITY PARTNERSHIP:
THE ABOVE NAMED LIMITED LIABILITY PARTNERSHIP HEREBY RENOUNCES ITS STATU\
S AS A REGISTERED 
LIMITED LIABILITY PARTNERSHIP
2. EFFECTIVE DATE OF THE RENUNCIATION: 	(IF OTHER THAN THE FILE DATE)	
3. EXECUTION: 	(SUBJECT TO PENALTY OF FALSE STATEMENT)	
DATED THIS                                     DAY OF                   \
                                  , 20 	
NAME OF PARTNER 
(print or type)	SIGNATURE   	
PAGE 1 OF 1 FORM LLPR-1-1.0 
Rev. 7/2010	
SECRETARY OF THE STATE OF CONNECTICUT 
MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. \
BOX 150470, HARTFORD, CT 06115-0470
 
DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 T\
RINITY STREET, HARTFORD, CT 06106  
PHONE: 	
860-509-6003  	WEBSITE: 	www.concord-sots.ct.gov
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