Form Clp 53-02 - Limited Liability Partnership Cancellation Of Statement Of Qualification
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1KANSAS SECRETARY OF STATE
Contact Information
CLP
Limited Liability Partnership
Kansas Secretary of State
Cancellation of Statement of Qualification
Ron Thornburgh
53-02
Memorial Hall, 1st Floor
All information must be completed or this document will not be accepted for filing.
120 S.W. 10th Avenue
Topeka, KS 66612-1594
(785) 296-4564
Print
Reset
Please complete the form, print, sign and
mail to the Kansas Secretary of State with
1. Name of the partnership:
the filing fee. Selecting 'Print' will print
the form and 'Reset' will clear the entire
_________________________________________________________
form.
Name must match the name on record with the secretary of state
Do not write in this space
The limited liability partnership cancels its statement of qualification.
2. The future effective date of the cancellation, if not effective upon filing: _______ of _________ , ________ .
Day
Month
Year
We declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct.
Executed on the ________ of ___________ , _____________
by two partners.
Day
Month
Year
Signature
Signature
Instructions
1. A foreign limited liability partnership may file a certified copy of a statement of cancellation filed in
another state instead of this form.
2. Submit this form with the $35 filing fee.
Notice: There is a $25 service fee for all returned checks.
Rev. 12/28/04 jls
K.S.A. 56a-105
Rev. 8/11/03 amc
K.S.A. 56a-1001, 56a-1102
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