9. Names and Addresses of all General Partners. If a General Partnership listed is not registered or qualified in
Illinois, submit original Certificate of Good Standing dated within the last 30 days.
1.
________________________________________
2.
____________________________________
General Partner Name
General Partner Name
________________________________________
____________________________________
Street Address
Street Address
________________________________________
____________________________________
City, State, ZIP
City, State, ZIP
3.
________________________________________
4.
____________________________________
General Partner Name
General Partner Name
________________________________________
____________________________________
Street Address
Street Address
________________________________________
____________________________________
City, State, ZIP
City, State, ZIP
10. This application is accompanied by a recently authenticated Certificate of Existence from the state or
country where the applying entity is formed.
The original application to transact business must be signed by at least one General Partner. The undersigned
affirms, under penalties of perjury, that the facts stated herein are true, correct and complete.
Dated:_____________________________________
__________________________________________
General Partner Name
__________________________________________
__________________________________________
Signature
Name and Title (type or print)
Dated:_____________________________________
__________________________________________
General Partner Name
if a corporation or other entity (must be in good standing)
Signatures must be in black ink on an original document.
Carbon copy, photocopy or rubber stamp signatures
may only be used on conformed copies.