Form Upa-303 - Statement Of Partnership Authority - 2010 Page 2

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UPA-303
I/We declare, under the penalty of perjury, under the laws of the State of Illinois, that the foregoing is true,
correct and complete.
Executed on the _______________ of _________________ , ____________ by at least two partners.
Day
Month
Year
1.
__________________________________________________
1.
________________________________________________
Signature
Street Address
1.
__________________________________________________
2.
________________________________________________
Name (type or print)
City, Town
1.
__________________________________________________
2.
______________________________________________
Name if a Corporation or other Entity
State, ZIP
2.
__________________________________________________
2.
________________________________________________
Signature
Street Address
1.
__________________________________________________
2.
________________________________________________
Name (type or print)
City, Town
1.
__________________________________________________
2.
______________________________________________
Name if a Corporation or other Entity
State, ZIP
3.
__________________________________________________
3.
________________________________________________
Signature
Street Address
1.
__________________________________________________
2.
________________________________________________
Name (type or print)
City, Town
1.
__________________________________________________
2.
______________________________________________
Name if a Corporation or other Entity
State, ZIP
Printed on recycled paper. Printed by authority of the State of Illinois. June 2010 – 200 – UPA 8.4

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