Form Cr2e073 - Amendment To Partnership Statement With Cover Letter

Form Cr2e073 - Amendment To Partnership Statement With Cover Letter - 2015 Page 2

AMENDMENT TO PARTNERSHIP STATEMENT

Pursuant to section 620.8105(7), Florida Statutes, this partnership submits the following to amend a partnership

statement:

(Note: An amendment to a partnership statement cannot be filed with the Florida Department of State unless the

partnership statement being amended was previously filed and is of record with this office.)

FIRST: The name of the partnership is:

SECOND: The partnership was registered with the Florida Department of State on

and assigned registration number

THIRD: This amendment is to amend the following statement

 Statement of Partnership Authority, filed on ____________, assigned document number GP _________________.

 Statement of Dissolution, filed on ____________, assigned document number GP _________________.

 Statement of Denial, filed on ____________, assigned document number GP _________________.

 Statement of Dissociation, filed on ____________, assigned document number GP _________________.

 Statement of Merger, filed on ____________, assigned document number GP _________________.

 Statement of Limited Liability Partnership Qualification, filed on ____________, assigned document

number LLP _________________.

FOURTH: Text/Substance of Amendment:

FIFTH: Effective date, if other than the date of filing:

(Effective date cannot be prior to the date of filing nor more than 90 days after the date of filing.)

NOTE: If the date inserted in this block does not meet the applicable statutory filing requirements, this date will not

be listed as the document’s effective date on the Department of State’s records.

The execution of this statement constitutes an affirmation under the penalties of perjury that the facts stated herein are

true.

I am aware that any false information submitted in a document to the Department of State constitutes a third degree

felony as provided for in s. 817.155, F.S.

Signed this _____ day of ____________________________, _______.

Signature of a partner or authorized person:

Typed or printed name of person signing above:

Filing Fee:

$25.00

Certified copy:

$52.50 (optional)

Certificate of Status:

$ 8.75 (optional)

Form Cr2e073 - Amendment To Partnership Statement With Cover Letter - 2015 Page 2