Form Lp 902.5 - Amended Application For Certificate Of Authority Page 2
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2Form LP 902.5
The original Amended Application for Certificate of Authority must be signed by a General Partner, all
new General Partners, and any or all dissociated General Partners. The undersigned affirms, under penal-
ties of perjury, that the facts stated herein are true, correct and complete.
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
________________________________________
________________________________________
Street Address
Street Address
________________________________________
________________________________________
City, State, ZIP
City, State, ZIP
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
________________________________________
________________________________________
Street Address
Street Address
________________________________________
________________________________________
City, State, ZIP
City, State, ZIP
Signatures must be in black ink on an original document.
Carbon copy, photocopy or rubber stamp signatures
may only be used on conformed copies.
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