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Illinois Uniform Limited Partnership Act
LP 116
Form
Resignation of Agent
June 2010
FILE #:
This space for use by Secretary of State.
for Service of Process
Secretary of State
Department of Business Services
Limited Liability Division
SUBMIT IN DUPLICATE
501 S. Second St., Rm. 357
Please type or print clearly.
Springfield, IL 62756
217-524-8008
This space for use by Secretary of State.
Filing Fee: $50
Approved:
Payment must be made by check
Correspondence regarding this filing will be sent to
payable to Secretary of State.
the registered agent of the Limited Partnership un-
Please do not send cash.
less a self-addressed, stamped envelope is in cluded.
1.
Limited Partnership Name: ________________________________________________________________
2. Address of the Principal Office of the Limited Partnership, as such is known to the registered agent:
______________________________________________________________________________________
Street Address (P.O. Box alone is unacceptable.)
______________________________________________________________________________________
City, State, ZIP
3.
Federal Employer Identification Number (F.E.I.N.): ____________________________________________
4. Limited Partnershipʼs Registered Agentʼs Name and Registered Office Address:
Registered Agent: ______________________________________________________________________
Name
Registered Office:______________________________________________________________________
Street Address (P.O. Box alone is unacceptable.)
____________________________________________________________________________________
City (must be in Illinois)
ZIP
5.
The agency for service of process is terminated on the 31st day after the Secretary of State files the state-
ment of resignation.
The undersigned affirms, under penalties of perjury, that the facts stated herein are true, correct and complete.
Dated:_____________________________________
__________________________________________
Name of Agent if a corporation or other entity
__________________________________________
__________________________________________
Signature of Registered Agent
Name and Title (type or print)
Dated:_____________________________________
__________________________________________
Name of Agent if a 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 1.9