Form Upa-907 - Limited Liability Partnership/ Limited Partnership Statement Of Merger 2014 Page 2

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UPA-907
5. The undersigned entities caused this statement to be signed by a duly authorized person of each entity that is
party to the merger, each of whom affirms, under the penalty of perjury, that the facts herein stated are true,
correct and complete.
Executed on the
of
,
by a partner of each merging entity.
Date
Month
Year
1.
2.
Signature
Signature
Name and Title (type or print)
Name and Title (type or print)
Name of Partnership or LP
Name of Partnership or LP
3.
4.
Signature
Signature
Name and Title (type or print)
Name and Title (type or print)
Name of Partnership or LP
Name of Partnership or LP
For additional space, continue in the same format on a plain white 8.5x11” sheet of paper.

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