Form Lp 108.5(E) - Assumed Name Renewal Application
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LP 108.5(e)
FILE #
Form
This space for use by Secretary of State.
August 2012
Secretary of State
Department of Business Services
Limited Liability Division
501 S. Second St., Rm. 357
Springfield, IL 62756
SUBMIT IN DUPLICATE
217-524-8008
Please type or print clearly.
Payment may be made by check
Filing Fee: $150
payable to Secretary of State. If check
Approved:
is returned for any reason this filing
will be void.
Please do not send cash.
1. Limited Partnership Name:________________________________________________________________
2. Alternate Name, if any (Foreign only): _______________________________________________________
3. Assumed Name to be renewed:____________________________________________________________
4. Registered Agent:_______________________________________________________________________
Name
Registered Office: __________________________________________________________________________
Street Address (P.O. Box alone is unacceptable.)
____________________________________________________________________________________
City, State, ZIP
5. One General Partner must sign the Assumed Name Renewal Application. If the General Partner is a
corporation, an authorized officer must sign indicating his/her authority.
Date: ____________________________________
__________________________________________
Month, Day, Year
General Partner Name if a corporation or other entity
________________________________________
__________________________________________
Signature
Name and Title (type or print)
Date: ____________________________________
__________________________________________
Month, Day, Year
General Partner Name if corporation or other entity
Signatures must be in black ink on an original document.
Carbon copy, photocopy or rubber stamp signatures
may only be used on conformed copies.
♻ Printed on recycled paper. Printed by authority of the State of Illinois. August 2012 — 1 — C LP 18.7
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