Form LP-101 "Certificate of Dissociation" - California

What Is Form LP-101?

This is a legal form that was released by the California Secretary of State - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2013;
  • The latest edition provided by the California Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form LP-101 by clicking the link below or browse more documents and templates provided by the California Secretary of State.

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Download Form LP-101 "Certificate of Dissociation" - California

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LP-101
State of California
Secretary of State
Certificate of Dissociation
(by a general partner of a domestic (California) limited partnership)
This Space For Filing Use Only
Instructions for Completing this
Certificate of Dissociation (Form LP-101)
Who Can File: Form LP-101 can be filed by a general partner who has dissociated from a California limited partnership
(LP) upon the occurrence of any of the events described in California Corporations Code section 15906.03.
Where to File: For easier completion, this form is available on the California Secretary of State's website at
www.sos.ca.gov/business/be/forms.htm and can be completed online and printed to mail. The completed form can be
mailed to Secretary of State, Document Filing Support Unit, P.O. Box 944225, Sacramento, CA 94244-2250 or delivered in
person (drop off) to the Sacramento office. If you are not completing this form online, please type or legibly print in black or
blue ink. This form is filed only in the Sacramento office.
Legal Authority: Statutory filing requirements are found in California Corporations Code section 15906.05. Note: Signing
Form LP-101 constitutes an affirmation under penalty of perjury that the facts stated in the certificate are true. (California
Corporations Code section 15902.08(b).)
Fees: The fee for filing Form LP-101 is $30.00. A non-refundable $15.00 special handling fee is applicable for processing
documents delivered in person (drop off) at the Sacramento office. The preclearance and/or expedited filing of a
document within a guaranteed time frame can be requested for an additional non-refundable fee in lieu of the
special
handling
fee.
For
detailed
information
about
preclearance
and
expedited
filing
services,
go
to
www.sos.ca.gov/business/be/service-options.htm. The special handling fee or preclearance and expedited filing services
are not applicable to documents submitted by mail. Check(s) should be made payable to the Secretary of State.
Copies: Upon filing, we will return one (1) uncertified copy of your filed document for free. To get additional copies, include
a separate request and payment for copy fees when the document is submitted. Copy fees are $1.00 for the first page and
$.50 for each additional page. For certified copies, there is an additional $5.00 certification fee, per copy.
Complete Form LP-101 as follows:
Item 1. Enter the file number issued to the limited partnership by the California Secretary of State.
Item 2. Enter the name of the limited partnership exactly as it is of record with the California Secretary of State.
Item 3. Date, sign and type or print the name of the dissociated general partner. Form LP-101 must be signed by the
dissociated general partner. (California Corporations Code section 15902.04.) Note: If the dissociated general
partner is an entity, the person who signs for the entity should type or print the exact name of the entity and
his/her name and position/title.
File Number
Entity Name
1. Secretary of State File Number
2. Name of California Limited Partnership
Declaration of Dissociation & Execution
3.
I declare I am a dissociated general partner of the above-named limited partnership, and I declare I am the person who
executed this instrument, which execution is my act and deed.
Signature of Dissociated General Partner
Type or Print Name of Dissociated General Partner
LP-101 (REV 01/2013)
APPROVED BY SECRETARY OF STATE
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Print Form
LP-101
State of California
Secretary of State
Certificate of Dissociation
(by a general partner of a domestic (California) limited partnership)
This Space For Filing Use Only
Instructions for Completing this
Certificate of Dissociation (Form LP-101)
Who Can File: Form LP-101 can be filed by a general partner who has dissociated from a California limited partnership
(LP) upon the occurrence of any of the events described in California Corporations Code section 15906.03.
Where to File: For easier completion, this form is available on the California Secretary of State's website at
www.sos.ca.gov/business/be/forms.htm and can be completed online and printed to mail. The completed form can be
mailed to Secretary of State, Document Filing Support Unit, P.O. Box 944225, Sacramento, CA 94244-2250 or delivered in
person (drop off) to the Sacramento office. If you are not completing this form online, please type or legibly print in black or
blue ink. This form is filed only in the Sacramento office.
Legal Authority: Statutory filing requirements are found in California Corporations Code section 15906.05. Note: Signing
Form LP-101 constitutes an affirmation under penalty of perjury that the facts stated in the certificate are true. (California
Corporations Code section 15902.08(b).)
Fees: The fee for filing Form LP-101 is $30.00. A non-refundable $15.00 special handling fee is applicable for processing
documents delivered in person (drop off) at the Sacramento office. The preclearance and/or expedited filing of a
document within a guaranteed time frame can be requested for an additional non-refundable fee in lieu of the
special
handling
fee.
For
detailed
information
about
preclearance
and
expedited
filing
services,
go
to
www.sos.ca.gov/business/be/service-options.htm. The special handling fee or preclearance and expedited filing services
are not applicable to documents submitted by mail. Check(s) should be made payable to the Secretary of State.
Copies: Upon filing, we will return one (1) uncertified copy of your filed document for free. To get additional copies, include
a separate request and payment for copy fees when the document is submitted. Copy fees are $1.00 for the first page and
$.50 for each additional page. For certified copies, there is an additional $5.00 certification fee, per copy.
Complete Form LP-101 as follows:
Item 1. Enter the file number issued to the limited partnership by the California Secretary of State.
Item 2. Enter the name of the limited partnership exactly as it is of record with the California Secretary of State.
Item 3. Date, sign and type or print the name of the dissociated general partner. Form LP-101 must be signed by the
dissociated general partner. (California Corporations Code section 15902.04.) Note: If the dissociated general
partner is an entity, the person who signs for the entity should type or print the exact name of the entity and
his/her name and position/title.
File Number
Entity Name
1. Secretary of State File Number
2. Name of California Limited Partnership
Declaration of Dissociation & Execution
3.
I declare I am a dissociated general partner of the above-named limited partnership, and I declare I am the person who
executed this instrument, which execution is my act and deed.
Signature of Dissociated General Partner
Type or Print Name of Dissociated General Partner
LP-101 (REV 01/2013)
APPROVED BY SECRETARY OF STATE
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Secretary of State
Business Programs Division
Business Entities, P.O. Box 944228, Sacramento, CA 94244-2280
Mail Submission Cover Sheet
Instructions:
• Complete and include this form with your submission. This information only will be used to communicate with you
in writing about the submission. This form will be treated as correspondence and will not be made part of the filed
document.
• Make all checks or money orders payable to the Secretary of State.
• Do not include a $15 counter fee when submitting documents by mail.
Standard processing time for submissions to this office is approximately 5 business days from receipt. All
submissions are reviewed in the date order of receipt. For updated processing time information, visit
www.sos.ca.gov/business/be/processing-times.
Optional Copy and Certification Fees:
• If applicable, include optional copy and certification fees with your submission.
For applicable copy and certification fee information, refer to the instructions of the specific form you are submitting.
Contact Person:
(Please type or print legibly)
First Name:
Last Name:
__________________________________________________
_______________________________________________
Phone (optional):
______________________________________________
Entity Information:
(Please type or print legibly)
Name:
__________________________________________________________________________________________________________________
Entity Number
:
(if applicable)
_____________________________________
Comments:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
Return Address: For written communication from the Secretary of State related to this document, or if
purchasing a copy of the filed document enter the name of a person or company and the mailing address.
Name:
Company:
Secretary of State Use Only
Address:
T/TR:
City/State/Zip:
AMT REC’D:
$
Doc Submission Cover - OBE (Rev. 09/2016)
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