General Partnership Statement Of Dissociation Form - Minnesota Secretary Of State Page 2

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INSTRUCTIONS FOR COMPLETING STATEMENT OF DISSOCIATION
This Registration Must Be Typed Or Legibly Printed In Black Ink Only. An Illegible Statement of Dissociation Will
Be Returned Without Being Filed. This Form Is Merely A Guide. See Your Lawyer For More Information About
Filings Under Minnesota Statutes Chapter 323A.
1. List your first, middle, and last name here.
2. List the name of the partnership with respect to which this statement is filed.
3. This line states that the partner completing this form is dissociated from the partnership.
4. The document must be signed by a partner. The partner who completes this statement of dissociation
personally declares under penalty of perjury that the contents of the statement are accurate.
GENERAL INFORMATION
NOTE: A dissociated partner OR the partnership may file a statement of dissociation.
A copy of this statement must promptly be sent to every non filing partner.
323A. 6-03 (b) Upon a partner’s dissociation:
(1) the partner’s right to participate in the management and conduct of the partnership business terminates,
except as otherwise provided in section 323A.8-03;
(2) the partner’s duty of loyalty under section 323A.4-04(b)(3) terminates; and
(3) the partner’s duty of loyalty under section 323A.4-04(b)(1) and (2) and duty of care under section 323A.4-
04(c) continue only with regard to matters arising and events occurring before the partner’s dissociation, unless
the partner participates in winding up the partnership’s business pursuant to section 323A.8-03. 323A. 7-04 (b)
A statement of dissociation is a limitation on the authority of a dissociated partner for the purposes of section
323A.3-03(d) and (e). (c) For the purposes of sections 323A.7-02(a)(3) and 323A.7-03(b)(3), a person not a
partner is deemed to have notice of the dissociation 90 days after the statement of dissociation is filed.
Filing Fee: $135.00 Payable to the MN Secretary of State
FILE IN-PERSON OR MAIL TO:
Minnesota Secretary of State - Business Services
Retirement Systems of Minnesota Building
60 Empire Drive, Suite 100
St Paul, MN 55103
(Staffed 8:00 - 4:00, Monday - Friday, excluding holidays)
To obtain a copy of a form you can go to our web site at
, or contact us between 9:00am
to 4:00pm, Monday through Friday at (651) 296-2803 or toll free 1-877-551-6767.
All of the information on this form is public. Minnesota law requires certain information to be provided for this
type of filing. If that information is not included, your document may be returned unfiled. This document can be
made available in alternative formats, such as large print, Braille or audio tape, by calling (651)296-2803/voice.
For a TTY/TTD (deaf and hard of hearing) communication, contact the Minnesota Relay Service at 1-800-627-
3529 and ask them to place a call to (651)296-2803. The Secretary of State's Office does not discriminate on
the basis of race, creed, color, sex, sexual orientation, national origin, age, marital status, disability, religion,
reliance on public assistance or political opinions or affiliations in employment or the provision of service.
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5/17/2007

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