Form LP 1104
The original Articles of Conversion must be signed by all General Partners. The undersigned affirms,
under penalties of perjury, that the facts stated herein are true.
1. Dated: ___________________________________
2. Dated: __________________________________
Month, Day, Year
Month, Day, Year
________________________________________
________________________________________
Signature
Signature
________________________________________
________________________________________
Name and Title (type or print)
Name and Title (type or print)
________________________________________
________________________________________
General Partner Name if corporation or other entity
General Partner Name if corporation or other entity
3. Dated: ___________________________________
4. Dated: __________________________________
Month, Day, Year
Month, Day, Year
________________________________________
________________________________________
Signature
Signature
________________________________________
________________________________________
Name and Title (type or print)
Name and Title (type or print)
________________________________________
________________________________________
General Partner Name if corporation or other entity
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 2010 — 200 — C LP 26.2