Statement Of Dissolution Form - Connecticut Secretary Of The State

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STATEMENT OF DISSOLUTION
CONNECTICUT PARTNERSHIP
Office of the Secretary of the State
MAILING ADDRESS:
DELIVERY ADDRESS:
Commercial Recording Division
Commercial Recording Division
Connecticut Secretary of the State
Connecticut Secretary of the State
P.O. Box 150470
30 Trinity Street
Hartford, CT 06115-0470
Hartford, CT 06106
860-509-6003
860-509-6003
FEE: $120.00
Space for Office Use Only
Make Checks Payable To “Secretary of the State”
1. NAME OF THE PARTNERSHIP:
THE ABOVE NAMED PARTNERSHIP IS DISSOLVED AND IS WINDING UP
ITS BUSINESS. ITS STATEMENT OF PARTNERSHIP AUTHORITY IS HEREBY
CANCELED PURSUANT TO Conn. Gen. Stat. Section 34-376
Please reference an 8 1/2 X 11 attachment if additional space is required
EXECUTION BY A PARTNER:
Dated this _________________day of ____________________, 20________.
I hereby declare under the penalties of false statement that the statements made in the
foregoing document is true.
2. Print or type name signing partner
3. Signature
Rev. 12/07/09

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