Kansas LLP Cancellation of Statement of Qualification Form

In the case of a limited liability partnership that is registered in the State of Kansas wanting to terminate the registered legal entity in the state, the following form has to be completed and submitted along with a $35 filing fee.

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Above space is for office use only.	
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CONTACT:	  Kansas Office of the Secretary of State	
Memorial Hall, 1st Floor
120 S.W. 10th Avenue
Topeka, KS 66612-1594	 	
(785) 296-4564
[email protected]
www.sos.ks.gov	
CLP	
53-02	
KANSAS SECRETARY OF STATE
Limited Liability Partnership 
Cancellation of Statement 
of Qualification	
INSTRUCTIONS:  	All information must be completed or this document will not be accepted for filing. 	 	
Please read instructions before completing.	i	
Page 1 of 1	
3.  The limited liability partnership cancels its statement of qualification.
1.  Business entity ID number:This is not the Federal Employer ID Number (FEIN)
2.  Name of partnership:Name must match the name on record with the Secretary of State	
K.S.A	. 56a-10556a-1001	
________________________________________________________    ____________\
__________________________________________	_	_           Signature of partner              Date (month, day, year)          Name of signer (printed or typed)       	 ________________________________________________________    ____________\
__________________________________________	_	_        Signature of partner              Date (month, day, year)          Name of signer (printed or typed)                        
5.  We declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct and 
that we have remitted the required fee. 	  	
Instructions:	  	
1.  This form must be signed by at least two partners.  K.S.A. 56a-105(\
c).  
2.  A foreign limited liability partnership may file a certified copy of a statement of cancellation filed in another state 
 instead of this form.  
3. I	f this form is submitted after the close of the entity’s tax year, an annual report and fee must be submitted along         	
 with or prior to cancellation.  If the entity has forfeited, it must reinstate before cancellation.  
4. Submit this form with the 	$35	 filing fee.   	
STAY UP-TO-DATE ON YOUR ORGANIZATION’S STATUS, ANNUAL REPORT DUE DATE AND CONTACT ADDRESSES BY GOING TO WWW.SOS.KS.GOV.  UNDER QUICK LINKS, SELECT SEARCH BUSINESS ENTITY INFORMATION. 
NOTICE: 	There is a $25 service fee for all checks returned by your financial institution.	 	All information must be completed or this document will not be accepted for filing.  	
4.  Future effective date:	Upon filing
Future effective date	_____________________________	_ 	   Month               Day                     Year          	
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Rev. 12/27/10 jdr