Form Csq - Cancellation Of Statement Of Qualification For A Limited Liability Partnership - Kentucky Secretary Of State

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C
K
OMMONWEALTH OF
ENTUCKY
E
N. W
, S
S
LAINE
ALKER
ECRETARY OF
TATE
_________________________________________________________________________________________________________________________
Division of
Business Filings
Cancellation of Statement of Qualification
CSQ
Business Filings
(Limited Liability Partnership)
PO Box 718
Frankfort, KY 40602
(502) 564-3490
__________________________________________________________________________________________
Pursuant to the provisions of KRS 14A and KRS 362, the undersigned applies to cancel a statement of qualification.
1. The name of the limited liability partnership is:
_________________________________________________________________________________________.
(The name must be identical to the name on record with the Secretary of State)
2. The date the Statement of Qualification was filed with the Office of the Secretary of State_______________________.
3. This application will be effective upon filing, unless a delayed effective date and/or time is provided. The effective date
__
or the delayed effective date cannot be prior to the date the application is filed. The date and/or time is ____________
.
(Delayed effective date
and/or time)
4. The limited liability partnership cancels its Statement of Qualification.
We/I declare under penalty of perjury under the laws of the state of Kentucky that the foregoing is true and correct.
______________________________________ ________________________________ __________________________
Signature of Partner
Printed Name
Date
______________________________________ ________________________________ __________________________
Signature of Partner
Printed Name
Date
(04/11)

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