Statement Of Denial {SS-4515}

For Office Use Only GENERAL PARTNERSHIP (Statement of Denial) Corporate Filings 312 Rosa L. Parks Ave. 6th Floor, William R. Snodgrass Tower Nashville, TN 37243 1. The name of the general partnership (as recorded with the Secretary of State) is: 2. The name of the person filing the denial is: 3. State the fact(s) being denied: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ The execution of this statement constitutes an affirmation under the penalties of perjury that the undersigned has/have the authority to file this statement and that the contents of the statement are accurate. Signed and dated this _______ day of ____________________, _______ _________________________________ Signature _________________________________ Signature ________________________________ Printed Name ________________________________ Printed Name Note: A document filed by a partnership must be executed by at least two partners. Other documents must be executed by a partner or other person authorized by the Revised Uniform Partnership Act. SS-4515 Filing Fee: $20 RDA pending American LegalNet, Inc. www.FormsWorkFlow.com