Statement Of Denial Form - Minnesota Secretary Of State printable pdf download

Statement Of Denial Form - Minnesota Secretary Of State

MINNESOTA SECRETARY OF STATE

STATEMENT OF DENIAL

CHAPTER 323A

PLEASE TYPE OR PRINT IN BLACK INK.

READ THE INSTRUCTIONS BEFORE COMPLETING THIS FORM

Fee: $135.00

1. Provide the partnership name:

___________________________________________________________________________________________________

2. I hereby expressly deny the following fact(s):

___________________________________________________________________________________________________

In addition to the above, initial any of the following denials that also apply in your situation to which you wish to certify:

_______ I hereby expressly deny any and all statements asserted in the statement of partnership authority

pertaining to the above named partnership.

_______ I hereby expressly deny any alleged status as a partner of the above named partnership.

_______ I hereby expressly deny the following party(s) authority or status as a partner in the above named

partnership:

___________________________________________________________________________________________________

3. I acknowledge that this statement of denial is voluntary. I certify that I am authorized to sign this document and I further

certify that by signing this document I am subject to the penalties of perjury as set forth in Minnesota Statutes, Section 609.48

as if I had signed this document under oath.

________________________________________

Signature of claimant

________________________________________

Print your name and daytime telephone number

bus86 Statement of Denial Rev. 5-07

Statement Of Denial Form - Minnesota Secretary Of State