Form Smg - Statement Of Merger (Domestic Or Foreign Partnership) Page 2
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1
2FILING INSTRUCTIONS
STATEMENT OF MERGER
NAME
State the exact name of the partnerships (and limited partnerships) that are parties to the merger.
SURVIVOR
List the name of the surviving entity.
WHO MAY SIGN
The document must be signed by two general partners as authorized by KRS 362.
PRINCIPAL OFFICE ADDRESS
The principal office is the office (in or out of this state) so designated in writing with the Office of the Secretary of State where the
principal designated office of the business entity is located. This address is where all correspondence from the Office of the Secretary
of State (See Document Delivery) will be submitted.
ADDRESSES
List the address of the surviving entity; it must be a street location. If the surviving entity maintains an office in Kentucky, please list the
address.
WHO MUST SIGN
The statement of merger shall be signed by two partners.
NUMBER OF COPIES
If filing via mail or in person, one exact or conformed copy of the document with the filing fee must be submitted to the address below.
To make a copy of the filing for delivery to the local county clerk’s office, visit
and print a copy from the organization
search tool.
DOCUMENT DELIVERY
A file stamped postcard will be sent to the principal office address. If the applicant wishes for the document to be sent to an alternate
address other than the principal office, a request must be submitted in writing affirming that request. Alternate address requests must
be submitted with each document filed with the Office of the Secretary of State.
FILING FEE
The filing fee is $40.00. Checks should be made payable to the “Kentucky State Treasurer.”
MAILING ADDRESS
OFFICE LOCATION
Alison Lundergan Grimes
Room 154, Capitol Building
Secretary of State
700 Capital Avenue
P. O. Box 718
Frankfort, KY 40601
Frankfort, KY 40602-0718
Hours of Operation: 8:00 AM-4:30 PM ET
CONTACT INFORMATION
If you have any questions or need additional forms, please feel free to visit our website at or call (502) 564-3490.
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