Sos Partnership Form Fs 0730 - Statement Of Merger
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1MISSISSIPPI SECRETARY OF STATE
POST OFFICE BOX 136
JACKSON, MISSISSIPPI 39205-0136
CUSTOMER SERVICE 601-359-1633
w ww.sos.state.ms.us
H T U
U T H
S TATEMENT OF MERGER
U
Filing Fee $25.00. Type or print legibly in blue or black ink. Please do not highlight or write above this line.
1.
N ame of Domestics
Name of Domestic Partnership
U
partnership and
other entities that are
a party to the
Name of other entity
Entity Type
merger; including
entity types.
(partnerships, limited
Name of other entity
Entity Type
partnerships,
corporations etc):
U
Name of other entity
Entity Type
2.
D omicile of surviving
U
entity and entity type
U
Name of Surviving Entity
Entity Type
3.
S treet Address of
U
Chief Executive
Office:
Street Address
City
State
Zip Code
U
4.
S treet Address of
U
one Office Located in
Mississippi, if any:
Street Address
City
State
Zip Code
U
5.
C ontinuing Sections:
U
U
(to continue information from
To continue information from any section(s) of this form, please:
any section, mark box and
Page(s)
1. Mark the box at the left.
follow instructions)
Attached
2. Attach plain 8 ½” x 11” paper and specify which section(s) are being
continued.
6.
S ignatures:
(must be
U
U
I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF MISSISSIPPI THAT THE
executed by at least 2
FOREGOING IS TRUE AND CORRECT OF MY OWN KNOWLEDGE.
partners)(to continue on
another page…see section
6)
____________________________________________
____________________________________________
Partner Signature
Title
____________________________________________
Print Name
____________________________________________
____________________________________________
Partner Signature
Title
____________________________________________
Print Name
Submit completed form along with the filing fee of $25.00 to Mississippi Secretary of State, Business Services
Division, Post Office Box 136, Jackson, Mississippi 39205-0136.
Effective Date: January 1, 2007
SOS PARTNERSHIP FORM FS 0730
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