Form Upa-1003-(F) - Renewal Statement Of Foreign Limited Liability Partnership (Fillible) - Illinois Secretary Of State Page 2

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UPA-1003-F
9. The partnership hereby applies for continual status as a foreign Limited Liability Partnership.
10. This renewal statement is accompanied by a Certificate of Good Standing from the proper officer of
the state or country wherein the LLP is formed.
11. The undersigned affirms, under penalties of perjury, having authority to sign hereto, that this renewal
application is to the best of my knowledge and belief, true, correct and complete.
Dated
20
Month, Day
Year
__________________________________________________
________________________________________________
Signature
Street Address
1.
__________________________________________________
2.
________________________________________________
Name (type or print)
City, Town
1.
__________________________________________________
2.
________________________________________________
Partner Name if a Corporation or other Entity
State, ZIP
♻ Printed on recycled paper. Printed by authority of the State of Illinois. June 2010 – 200 – RLLP 3.9

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