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Form LP 109 January 2005
Filing Fee: $50 Submit in duplicate. Payment must be made by certified check, cashier's check, Illinois attorney's check, Illinois C.P .A.'s check or money order, payable to Secretary of State. Please do not send cash. File # __________________________ Assigned by Secretary of State Department of Business Services Limited Partnership Division 357 Howlett Building Springfield, IL 62756 217-785-8960 www.cyberdriveillinois.com
Illinois Secretary of State Department of Business Services
a. Application to Reserve Name b. Cancellation of Reserved Name c. Transfer of Reserved Name (Illinois or Foreign LP or LLLP)
Please type or print clearly. (a.) RESERVATION OF NAME 1. Limited Partnership Name to be reserved for a period of 90 days:
(Must contain the words "Limited Partnership," "Limited Liability Limited Partnership," "L.P "LP "LLLP" or "L.L.L.P .," ," .," and cannot contain the words "Company," "Corporation," "Incorporated," "Inc.," "Co." or "Corp.")
2. Applicant Name: 3. Applicant Address:
Street Address
City, State, ZIP County ,
4. Pursuant to the provisions of Article 1, Sections 108 and 109 of the Uniform Limited Partnership Act, the undersigned hereby applies for the reservation of the above Limited Partnership name for a period of 90 days.
Date (month, day, year)
Signature of Applicant
Name & Title (type or print)
Applicant Name if a Limited Partnership
Printed by authority of the State of Illinois. November 2007 200 CLP 27.2
DO NOT STAPLE
Form LP 109 January 2005
Filing Fee: $50 Submit in duplicate. Payment must be made by certified check, cashier's check, Illinois attorney's check, Illinois C.P .A.'s check or money order, payable to Secretary of State. Please do not send cash. File # __________________________ Assigned by Secretary of State Department of Business Services Limited Partnership Division 357 Howlett Building Springfield, IL 62756 217-785-8960 www.cyberdriveillinois.com
Illinois Secretary of State Department of Business Services
a. Application to Reserve Name b. Cancellation of Reserved Name c. Transfer of Reserved Name (Illinois or Foreign LP or LLLP)
(b.) CANCELLATION OF RESERVED NAME: Filing Fee - $50 The undersigned _________________________________________________________________ hereby voluntarily
Name of Original Applicant
cancels the right to use the name ______________________________________________________ for LP purposes in Illinois. This name was reserved on _____________________________, _______________.
Month & Day` Year
I affirm, under penalties of perjury, that the facts stated are true, correct and complete. Dated _____________________________, _________
Month & Day Year
_________________________________________________
Signature of Original Applicant
_________________________________________________
Name and Title (type or print)
_________________________________________________
Name if a company or other entity
(c.) TRANSFER OF RESERVED NAME The undersigned __________________________________________________________________________________
Original Applicant Name
hereby transfers to _________________________________________________________________________________
Transferee Name
the right to use the name ___________________________________________________________________________ for Limited Partnership purposes in Illinois. This name was reserved on _________________________________________________________________________
Date (month, day, year)
The undersigned affirms, under penalties of perjury, that the facts stated herein are true, correct and complete. Dated _____________________________, _________
Month & Day Name and Title (type or print) Year
_________________________________________________
Signature of Original Applicant
_____________________________________________
_________________________________________________
General Partner Name and Title if a Limited Partnership
Printed by authority of the State of Illinois. November 2007 200 CLP 27.2