General Partnership Cancellation Of Statement Form - Kansas Secretary Of State
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1Contact Information
KANSAS SECRETARY OF STATE
GC
Kansas Secretary of State
General Partnership Cancellation of Statement
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
Name must match the name on record with the secretary of state
form.
Do not write in this space
2. The following statement on file is cancelled:
__________________________________________________________________________________________
___________________________________________________________________________________________
_____________________________________________________________________________________________
_______________________________________________________________________________________________
I/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 ___________________ , ___________
.
Day
Month
Year
____________________________________________ ____________________________________________
Signature
Signature
Instruction
Submit this form with the $35 filing fee.
Notice: There is a $25 service fee for all returned checks.
Rev. 12/06/04 jls
Rev. 8/11/03 jb
K.S.A. 56a-105
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