State of North Carolina
Department of the Secretary of State
Amendment to Certificate of Domestic Limited Partnership
Office Use Only
A.
Return Acknowledgement to:
Name:
Mailing Address:
City/State/Zip:
Read Instructions on reverse before beginning. Attach additional pages as needed.
No. pages
attached:
B. Name of limited partnership (must contain words “limited partnership”):
C. Date of original filing with Secretary of State:
D. File number originally assigned by Secretary of State:
E. Change or amend as follows (complete all applicable sections)
1.Name of limited partnership changed to:
2.Name of registered agent changed to:
3.Address of registered office changed to:
NC
Street/Number:
City:
Zip:
County:
4.Address of office where records are kept changed to:
NC
Street/Number:
City:
Zip:
County:
5. Address of following general partner(s) changed to:
6. Following general partner(s) added:
Name
Name
Street/
Street/
Number
Number
City/State/Zip
City/State/Zip
County
County
Change Date
Add Date
8. ___ CONTINUATION OF BUSINESS. After an event of withdrawal,
7.Following general partners withdrawn:
the limited partnership intends to continue business pursuant to N.C. Gen. Statute
§59-801.
Name
Street/
Number
9.Dissolution date changed to:
City/State/Zip
10. Other information:
County
Withdrawal Date
F. The signatures of the following general partners constitute affirmations under the penalties of perjury that the facts herein are true.
Type or print the name of EACH general partner who signs this document.
1. If the general partner is an individual, complete this section.
Date
a. Name
Signature
b. Name
Signature
c. Name
Signature
2. If the general partner is a corporation or other entity, complete this section.
Date
a. Name of corporation or other entity
Name of officer signing
Title of officer signing
Signature
b. Name of corporation or other entity
Name of officer signing
Title of officer signing
Signature
c. Name of corporation or other entity
Name of officer signing
Title of officer signing
Signature
NOTES: Filing fee is $25.00. This document and one exact or conformed copy must be filed with the Secretary of State.
(Revised January 2000)
Form LP-02
CORPORATIONS DIVISION
P. O. BOX 29622
RALEIGH, NC 27626-0622