Form Lp 108.5 - Application To Adopt, Change Or Cancel An Assumed Name - Illinois Secretary Of State
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Form LP 108.5
January 2008
Filing Fee: $150 for each year or part thereof
ending in 0 or 5; $120 for each year or part
thereof ending in 1 or 6; $90 for each year or
part thereof ending in 2 or 7; $60 for each year
or part thereof ending in 3 or 8; $30 for each
year or part thereof ending in 4 or 9; $50 to
cancel or change an assumed name.
Submit in duplicate. Payment must be made
by certified check, cashier’s check, Illinois
attorney’s check, Illinois C.P .A.’s check or
money order, payable to Secretary of State.
Please do not send cash.
Department of Business Services
Limited Liability Division
501 S. Second St., Rm. 357
Springfield, IL 62756
217-785-8960
Illinois Secretary of State
Department of Business Services
Correspondence regarding this filing will be
Application to Adopt, Change or
sent to the registered agent of the Limited
Partnership unless a self-addressed, stamped
Cancel an Assumed Name
envelope is included.
(Illinois or Foreign Limited Partnership or LLLP)
Please type or print clearly.
1. Limited Partnership Name: ____________________________________________________________________________________________________________________________
2. File Number assigned by Secretary of State: __________________________________________________________________________
3. Federal Employer Identification Number (F.E.I.N.): ____________________________________________________________________
4. State or other Jurisdiction under the laws of which the Limited Partnership is formed (check one):
❏
Illinois (domestic)
❏
Foreign (specify) ______________________________________________________________________________________
5. To Adopt — The above-named Limited Partnership intends to adopt and transact business under the Assumed Name
of:______________________________________________________________________________________________________
6. To Change — The above-named Limited Partnership intends to cease transacting business under the Assumed Name
of:______________________________________________________________________________________________________
and to commence transacting business under the new Assumed Name of: __________________________________________________
________________________________________________________________________________________________________________________________________
7. To Cancel — The above-named Limited Partnership intends to cease transacting business under the Assumed Name
of:______________________________________________________________________________________________________
The undersigned affirms, under penalties of perjury, that the facts stated herein are true. One General Partner must
sign the application to adopt, change or cancel an assumed name.
Signature
Name and Title (type or print)
General Partner Name if a corporation or other entity
Signatures must be in black ink on an original document. Carbon copy,
photocopy or rubber stamp signatures may only be used on conformed copies.
Printed by authority of the State of Illinois. April 2008 — 200 — C LP 8.8
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