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General Partnership-Limited Liability Partnership Statement Of Dissociation GS - Kansas

General Partnership-Limited Liability Partnership Statement Of Dissociation Form. This is a Kansas form and can be used in Limited Liability Partnership - General Partnership Business Entities Secretary Of State .
 Fillable pdf Last Modified 8/9/2012
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Contact Information Kansas Secretary of State Memorial Hall, 1st Floor 120 S.W. 10th Avenue Topeka, KS 66612-1594 (785) 296-4564 kssos@sos.ks.gov www.sos.ks.gov General Partnership/Limited Liability Partnership Statement of Dissociation All information must be completed or this document will not be accepted for filing. KANSAS SECRETARY OF STATE GS 53 1. Name of the partnership: ____________________________________________ Name must match the name on record with the secretary of state 2. Partner dissociated from the partnership: ____________________________________________________ ____________________________________________________ I/We declare the above-named partner to be dissociated from the general partnership. Do not write in this space I/We declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct. Executed on the ________ of ___________ , _____________ . Day Month Year If filed by a dissociating partner, the dissociating partner must sign. _________________________________________________ Signature If filed by the partnership, two partners must sign. _________________________________________________ Signature ______________________________________________________ Signature Instructions 1. A certified copy of a statement of dissociation filed in another state may be filed instead of this form. 2. Submit this form with the $35 filing fee. Notice: There is a $25 service fee for all returned checks. Rev. 12/28/10 jdr K.S.A. 56a-105 K.S.A. 56a-704 American LegalNet, Inc. www.FormsWorkFlow.com
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