Form Upa-1103 - Illinois Uniform Partnership Act Affidavit Of Compliance For Service On Secretary Of State Page 2

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6. Title of the Court and County in which the action, suit or proceeding has commenced: ____________________
______________________________________________________________________________________________
7. Title of document being served: __________________________________________________________________
8. A copy of the process, notice or demand, together with any papers required by law to be delivered with
service, are hereby attached.
9.
additional pages are attached for filing with this form (filer must complete this blank).
10. The undersigned affirms, under the penalties of perjury, that the facts stated herein are true.
Signature of Affiant
Date
Name (type or print)
Daytime Phone Number
Signatures must be in BLACK INK on an original document.
Carbon copy, photocopy or rubber stamp signatures may only be used on conformed copies.
Deliver to the Secretary of State:
• Copy of the process, notice or demand
• Copy of any papers to be served therewith
• Affidavit of Compliance
Transmit to the Registered Limited Liability Partnership being served, by certified or registered mail:
• Copy of the process, notice or demand
• Copy of any papers to be served therewith
• Notice of Service on the Secretary of State
• Affidavit of Compliance
Transmittal to the Registered Limited Liability Partnership being served shall be:
1. At the last registered office of the Registered Limited Liability Partnership as shown on the records of the
Secretary of State; and
2. At such address the use of which the person instituting the action, suit or proceeding knows, or on the basis
of reasonable inquiry, has reason to believe, is most likely to result in actual notice.
This affidavit will be stamped with the date of filing and returned to the affiant as the only proof of filing.
Printed by authority of the State of Illinois. January 2008 — 100 — UPA 15.2

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