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Statement Of Denial Dissociation Dissolution 567 - Ohio
| Statement Of Denial Dissociation Dissolution Form. This is a Ohio form and can be used in Corporations Secretary Of State . |
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Form 567 Prescribed by the: Ohio Secretary of State Central Ohio: (614) 466-3910 Toll Free: (877) SOS-FILE (767-3453) www.OhioSecretaryofState.gov Busserv@OhioSecretaryofState.gov Mail this form to one of the following: Regular Filing (non expedite) P.O. Box 1329 Columbus, OH 43216 Expedite Filing (Two-business day processing time requires an additional $100.00). P.O. Box 1390 Columbus, OH 43216 Statement of Denial / Dissociation / Dissolution (Partnership / Limited Liability Partnership) Filing Fee: $50 (190-PSC) (2) Statement of Denial of Partner Status Statement of Dissolution (CHECK ONLY ONE (1) BOX) (1) Statement of Denial of Partnership Authority Statement of Dissociation (3) (4) Name of Partnership Registration Number Complete if box (1) is checked The person submitting this form denies the authority stated in the Statement of Partnership Authority that was filed on: Date State specific authority being denied: (Optional) Complete if box (2) is checked The person submitting this form denies that the following person is a partner. Name Complete if box (3) is checked The following partner(s) is (are) dissociated from the partnership: Date of Dissociation (Optional) Names Address (Optional) Form 567 Page 1 of 2 Last Revised: 1/9/12 American LegalNet, Inc. www.FormsWorkFlow.com Complete if box (4) is checked The partnership has dissolved and is winding up its business. By signing and submitting this form to the Ohio Secretary of State, the undersigned hereby certifies that he or she has the requisite authority to execute this document. Required Must be signed by an authorized representative. If authorized representative is an individual, then they must sign in the "signature" box and print their name in the "Print Name" box. If authorized representative is a business entity, not an individual, then please print the business name in the "signature" box, an authorized representative of the business entity must sign in the "By" box and print their name in the "Print Name" box. Signature By (if applicable) Print Name Signature By (if applicable) Print Name Form 567 Page 2 of 2 Last Revised: 1/9/12 American LegalNet, Inc. www.FormsWorkFlow.com Instructions for Statement of Denial/Dissociation/Dissolution This form should be used to file a statement of denial, statement of dissociation or a statement of dissolution. Check box one to file a statement of denial of partnership authority, check box two to file a statement of denial of partner status, check box three to file a statement of dissociation and check box four to file a statement of dissolution. Name and Registration Number of the Partnership The name and registration number of the partnership must be provided. Statement of Denial Pursuant to Ohio Revised Code §1776.34, a partner or a person named as a partner may file a statement of denial. The statement of denial may include denial of a person's authority or status as a partner. A statement of denial is a limitation on authority under divisions (D) and (E) of section 1776.33 of the Revised Code. Statement of Dissociation Pursuant to Ohio Revised Code §1776.57, a dissociated partner or the partnership may file a statement of dissociation stating that the partner is dissociated from the partnership. Provide the name of the partner or partners in the space provided. Statement of Dissolution Pursuant to Ohio Revised Code §1776.65, after dissolution, a partner who has not wrongfully dissociated may file a statement of dissolution stating the partnership has dissolved and is winding up its business. Additional Provisions If the information you wish to provide for the record does not fit on the form, please attach additional provisions on a single-sided, 8 1/2 x 11 sheet(s) of paper. Signature(s) After completing all information on the filing form, please make sure that the form is signed by an authorized representative. **Note: Our office cannot file or record a document that contains a social security number or tax identification number. Please do not enter a social security number or tax identification number, in any format, on this form. Form 567 Last Revised: 1/9/12 American LegalNet, Inc. www.FormsWorkFlow.com
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