Form Lp 203 - Statement Of Termination Of Certificate Of Limited Partnership
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LP 203
Illinois
FILE #
Form
Uniform Limited Partnership Act
This space for use by Secretary of State.
August 2012
Statement of Termination of
Secretary of State
Department of Business Services
Certificate of Limited Partnership
Limited Liability Division
501 S. Second St., Rm. 357
SUBMIT IN DUPLICATE
Springfield, IL 62756
Please type or print clearly.
217-524-8008
Filing Fee: $25
Payment may be made by check
payable to Secretary of State. If check
Approved:
is returned for any reason this filing
Please do not send cash.
will be void.
1. Limited Partnership Name:________________________________________________________________
2. Date of filing initial Certificate of Limited Partnership: __________________________________________
3. Address to which the Secretary of State may mail a copy of any process against the Limited Partnership
that may be served on him/her (P.O. Box only is unacceptable):
____________________________________________________________________________________
____________________________________________________________________________________
The undersigned affirms, under penalties of perjury, that the facts stated herein are true, correct and complete.
All General Partners are required to sign the Statement of Termination, except as provided in Section
204(3) or (4).
1. Dated: ___________________________________
2. Dated: __________________________________
Month, Day, Year
Month, Day, Year
________________________________________
________________________________________
Signature
Signature
________________________________________
________________________________________
Name and Title (type or print)
Name and Title (type or print)
________________________________________
________________________________________
General Partner Name if corporation or other entity
General Partner Name if corporation or other entity
3. Dated: ___________________________________
4. Dated: __________________________________
Month, Day, Year
Month, Day, Year
________________________________________
________________________________________
Signature
Signature
________________________________________
________________________________________
Name and Title (type or print)
Name and Title (type or print)
________________________________________
________________________________________
General Partner Name if corporation or other entity
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 by authority of the State of Illinois. July 2016 — 1 — C LP 4.12
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