Domestic Or Foreign Limited Liability Partnership Registration Statement Amendment Form Page 2
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36.
_________________________ _________________________
Date executed:
(Partner’s signature)
(Partner’s signature)
____________
_________________________ _________________________
(Typed or printed name)
(Typed or printed name)
(See instructions for authorized signatures)
INSTRUCTIONS (Ref. sec. 178.40, Wis. Stats. for document content)
Submit one original and one exact copy to Department of Financial Institutions, P O Box 7846,
Madison WI, 53707-7846, together with a FILING FEE of $40.00, payable to the department. (If
rd
sent by Express or Priority U.S. mail, address to 345 W. Washington Ave., 3
Floor, Madison WI,
53703). This document can be made available in alternate formats upon request to qualifying
individuals with disabilities. The original must include an original manual signature. Upon filing, the
information in this document becomes public and might be used for purposes other than those for
which it was originally furnished. If you have any questions, please contact the Division of Corporate
& Consumer Services at 608-261-7577. Hearing-impaired may call 608-266-8818 for TTY.
1. Enter the name of the limited liability partnership as it is presently registered with the Department
of Financial Institutions. If the partnership is registered under a fictitious name, indicate the fictitious
name.
2. Provide the date of filing of the original registration statement in Wisconsin.
3. Sec. 182.01(3) provides that the statement shall not be filed unless the name of the person
(individual) who drafted it is printed, typewritten or stamped thereon in a legible manner. If the
document is not executed in Wisconsin, enter that remark.
4. Indicate if the limited liability partnership is formed under the laws of Wisconsin, or if not, the state
under whose laws it is formed.
5. Enter the amendment(s) to the registration statement. If the amendment changes the partnership’s
name to a name that does not satisfy sec. 178.42, Wis. Stats., complete the Contingent Statement with
a proposed fictitious name. See Note on page 3.
604
DFI/CORP/
(R4/01)
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