Form Cr2e039,1/07-Limited Partnership Reinstatement-Florida Department Of State

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PLEASE READ ALL INSTRUCTIONS BEFORE COMPLETING THIS FORM.
LIMITED
FLORIDA DEPARTMENT OF STATE
PARTNERSHIP
Secretary of State
REINSTATEMENT
DIVISION OF CORPORATIONS
DOCUMENT #
1.
Name of Limited Partnership
2.
3.
Principal Office Address - No P.O. Box #
Mailing Office Address
CR2E039 (1/07)
Suite, Apt. #, etc.
Suite, Apt. #, etc.
4.
Date Formed or Registered
To Do Business in Florida
City & State
City & State
5.
FEI Number
Applied For
Not Applicable
Zip
Country
Zip
Country
6.
$8.75
Additional Fee required
CERTIFICATE OF STATUS DESIRED
for a Certificate of Status
7. FEES:
8.
Name and Address of Current Registered Agent
Name
Filing Fee(s): $411.25 for each year due this office.
Supplemental Fee(s): $88.75 for each year due this office.
Street Address (P.O. Box Number is Not Acceptable)
Penalty Fee(s): $500 for each year or part thereof limited
partnership revoked on our records.
A $500 penalty is due for each year or part thereof the entity’s
Suite, Apt. #, Etc.
certificate of authority was revoked on our records, except in
circumstances which the entity did not receive the prior notices.
City
State
Zip Code
By checking this box, you are certifying the prior notices were not
received and requesting the $500 penalty fee(s) be waived.
FL
9.
Pursuant to the provisions of section 620.1810 or 620.1909, Florida Statutes, I hereby accept the appointment of registered agent. I am familiar with, and accept the obligations of Chapter 620,
Florida Statutes.
SIGNATURE (Registered Agent Accepting Appointment)
DATE
________________________________________________________________________________________________________________________________
___________________________________________________
(REGISTERED AGENT MUST SIGN)
A GENERAL PARTNER THAT IS A CORPORATION, LIMITED PARTNERSHIP OR OTHER BUSINESS ENTITY
MUST BE REGISTERED AND ACTIVE WITH THIS OFFICE.
Address of Each General Partner
a
Registration
10a.
10.
City, State and Zip Code
Name(s) of General Partner(s)
Document Number
(Do NOT Use Post Office Box Numbers)
Note: General partners MAY NOT be changed on this form; an amendment must be filed to change a general partner.
11.
I do hereby certify that the information supplied with this filing is voluntarily furnished and does not qualify for the exemptions contained in Chapter 119, Florida Statutes. I release the Division of
Corporations from any liability of non-compliance with Chapter 119, F.S. in the event that the information supplied is deemed exempt from public access. I further certify that the information indicated
on this annual report is true and accurate and that my signature shall have the same legal effects as if made under oath. I further certify that I am a General Partner of the limited partnership, receiver or
trustee empowered to execute this report as required by chapter 620, Florida Statutes.
SIGNATURE
DATE
____________________________________________________________________________________________________________________________________________________________________
_________________________________________________________
Typed or Printed Name of General Partner Signing Form
Telephone Number
__________________________________________________________________________________________________________
_________________________________________________________

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