General Partnership Statement Of Dissociation Form - Minnesota Secretary Of State
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GENERAL PARTNERSHIP STATEMENT OF DISSOCIATION
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1. Print your name here (name of dissociating partner):
______________________________________________________________________________________
2. Provide the partnership name:
______________________________________________________________________________________
3. The partner listed in item 1 is hereby dissociated from the partnership listed in item 2.
4. I acknowledge that this statement of dissociation is voluntary. I certify that I am a partner 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 partner
________________________________________
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R:\BS\Forms\WORD Docs for WEB\CurrrentForms\BUS80DissociationStatement.doc
1
5/17/2007
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