Form Lp 108.5 - Application To Adopt, Change Or Cancel Assumed Name

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LP 108.5
Illinois
FILE #
Form
Uniform Limited Partnership Act
August 2012
This space for use by Secretary of State.
Application to Adopt, Change
Secretary of State
or Cancel Assumed Name
Department of Business Services
Limited Liability Division
SUBMIT IN DUPLICATE
501 S. Second St., Rm. 357
Please type or print clearly.
Springfield, IL 62756
Filing Fee:
217-524-8008
• $150 for each year or part thereof ending in 0 or 5
• $120 for each year or part thereof ending in 1 or 6
• $90 for each year or part thereof ending in 2 or 7
Payment may be made by check
• $60 for each year or part thereof ending in 3 or 8
payable to Secretary of State. If check
• $30 for each year or part thereof ending in 4 or 9
is returned for any reason this filing
• $50 to cancel or change an assumed name.
will be void.
Please do not send cash.
Approved
1. Limited Partnership Name: ________________________________________________________________________
2. State or other Jurisdiction under the laws of which the Limited Partnership is formed (check one):
Illinois (domestic)
Foreign (specify) ____________________________________________________________________________
3. To Adopt — The above-named Limited Partnership intends to adopt and transact business under the Assumed Name of:
______________________________________________________________________________________________
4. To Change — The above-named Limited Partnership intends to cease transacting business under the Assumed Name of:
______________________________________________________________________________________________
and to commence transacting business under the new Assumed Name of: __________________________________________
__________________________________________________________________________________________________________________
5. To Cancel — The above-named Limited Partnership intends to cease transacting business under the Assumed Name of:
______________________________________________________________________________________________
One General Partner must sign the Application to Adopt, Change or Cancel Assumed Name. The undersigned af-
firms, under penalties of perjury, that the facts stated herein are true, correct and comlete.
Dated: ___________________________________
__________________________________________
Month, Day, Year
General Partner Name if corporation or other entity
________________________________________
__________________________________________
Signature
Name and Title (type or print)
Dated: ___________________________________
__________________________________________
Month, Day, Year
General Partner Name if corporation or other entity
Signatures must be in black ink on an original document.
Carbon copy, photocopy or rubber stamp signatures
may only be used on conformed copies.
♻ Printed on recycled paper. Printed by authority of the State of Illinois. August 2012 — 1 — C LP 8.10

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