Form Upa-1103 - Illinois Uniform Partnership Act Affidavit Of Compliance For Service On Secretary Of State

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Illinois Uniform Partnership Act
FORM UPA-1103
This space for use by
Affidavit of Compliance
Secretary of State.
January 2004
for Service on Secretary of State
Submit in duplicate. Please type or print clearly.
Secretary of State
Payment must be made by certified check, cashier’s check,
Department of Business Services
money order, Illinois attorney’s check or Illinois C.P.A.’s check.
LLP/RLLP Division
Uniform Partnership Section
This space for use by Secretary of State.
357 Howlett Building
Springfield, IL 62756
Date:
Assigned File #:
217-785-8960
Approved:
Federal Employer Identification Number (F.E.I.N.)
1. Registered Limited Liability Partnership Name:
2. File Number assigned by Secretary of State:
3. Title and Case Number:
vs.
First Named Plaintiff
First Named Defendant
Case Number
4. Basis for service on the Secretary of State (check and complete appropriate choice):
❏ a) Registered Limited Liability Partnership has failed to appoint or maintain a registered agent in Illinois.
❏ b) Registered Limited Liability Partnership’s registered agent cannot be found with reasonable diligence
at the registered office in Illinois.
❏ c) Domestic Registered Limited Liability Partnership’s Certificate of Limited Partnership was cancelled
; thus the conditions of paragraphs (a) and (b) exist.
Month, Day, Year
❏ d) Foreign Registered Limited Liability Partnership’s Application for Admission to Transact Business was cancelled
; thus the conditions of paragraphs (a) and (b) exist.
Month, Day, Year
❏ e) Registered Limited Liability Partnership is a Foreign Limited Partnership, which has transacted
business in Illinois without having been lawfully admitted to do so (contrary to the provisions of the
Revised Uniform Limited Partnership Act).
5. Address to which the undersigned has transmitted, by registered or certified mail, Notice of Service on the
Secretary of State and a copy of the process, notice or demand and accompany papers:
Street Address (Must be a street address. P.O. Box alone is unacceptable.)
City, State, ZIP, County
Printed by authority of the State of Illinois. January 2008 — 100 — UPA 15.2

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