Foreign Limited Liability Partnership Statement Of Qualification Form - 2010 Page 2
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29. We declare under penalty of perjury pursuant to the laws of the state of Kansas that the foregoing is true and
correct, and we have remitted the required fee.
________________________________________________________ ________________________________________________________
Signature of partner
Date (month, day, year)
________________________________________________________ ________________________________________________________
Signature of partner
Date (month, day, year)
Page 2 of 2
Rev. 12/27/10 jdr
K.S.A . 56a-1102
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