Fillable Form Dscb:15-8636 - Certificate Of Negation (Page 2 of 2) in pdf

DSCB:15-8636–Instructions

Pennsylvania Department of State

Bureau of Corporations and Charitable Organizations

P.O. Box 8722

Harrisburg, PA 17105-8722

(717) 787-1057

Website:

General Information

Typewritten is preferred. If handwritten, the form must be

2. Current address. The address provided must be the limited

legible and completed in black or blue-black ink in order to

partnership’s registered office address (a) or Commercial

permit reproduction. The nonrefundable filing fee for this

Registered Office Provider (b) as on file with the Department

form is $70.

of State at the time the Certificate of Negation is submitted

for filing. This field is required.

Checks should be made payable to the Department of State.

Checks must contain a commercially pre-printed name and

Post office boxes are not acceptable for any address. Under

address.

15 Pa.C.S. § 135(c) (relating to addresses) an actual street or

This form and all accompanying documents, including any

rural route box number must be used as an address, and the

necessary governmental approvals, shall be mailed to the

Department of State is required to refuse to receive or file any

address stated above.

document that sets forth only a post office box address.

Who should file this form?

3. Set forth the name of the person delivering the Certificate

A person that makes an investment in a business enterprise

of Negation to the Department of State for filing.

and erroneously but in good faith believes that the person has

become a limited partner in the enterprise (but the certificate

4. Mandatory statement. This field is required.

of limited partnership lists the person as a general partner) is

not liable for the enterprise’s obligations by reason of making

Signature and Verification

the investment, receiving distributions from the enterprise or

A Certificate of Negation must be signed by the person

exercising any rights of or appropriate to a limited partner, if,

erroneously believing himself to be a limited partner.

on ascertaining the mistake, the person:

Signing a document delivered to the Department for filing is

(1) causes an appropriate certificate of limited partnership,

an affirmation under the penalties provided in 18 Pa.C.S. §

amendment or statement of correction to be signed and

4904 (relating to unsworn falsification to authorities) that the

delivered to the department for filing;

facts stated in the document are true in all material respects.

(2) if a certificate of limited partnership is on file in the

This field is required.

department, withdraws from future participation as an owner

in the enterprise by delivering to the department for filing a

Certificate of Negation.

Applicable Law

For requirements for Certificate of Negation, see 15 Pa.C.S.

§ 8636. Statutes are available on the Pennsylvania General

Assembly website, , by following the

link for Statutes.

Form Instructions

Enter the name and mailing address to which any

correspondence regarding this filing should be sent.

This field must be completed for the Bureau to return the

filing. If the filing is to be returned by email, an email address

must be provided. An email will be sent to address provided,

containing a link and instructions on how a copy of the filed

document or correspondence may be downloaded. Any email

or mailing addresses provided on this form will become part

of the filed document and therefore public record.

1. Give the exact name of the limited partnership. The name

on this line must match exactly the association name as shown

in Department’s records at the time the Certificate of Negation

is submitted for filing. This field is required.

Form Dscb:15-8636 - Certificate Of Negation Page 2

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