Form Lp 103 (C) - Resignation Or Registered Agent - 2003 Page 2
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2Form LP 103 (c)
(Rev. July 2003)
The undersigned affirms, under penalties of perjury, that the facts stated herein are true.
Signature
_______________________________________________________________________________________
Type or print name and title __________________________________________________________________________
Name of General Partner if a corporation or other entity ____________________________________________________
_________________________________________________________________________________________________
(Signature must be in BLACK INK on an original document. Carbon copy, photocopy or rubber stamp signatures may only be
used on conformed copies.)
DO NOT SEND CASH!
RETURN TO:
Secretary of State
Department of Business Services
Limited Partnership Division
Room 357, Howlett Building
Springfield, Illinois 62756
Telephone: (217) 785-8960
C LP-1.6
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