Free General Partnership Statement of Dissociation - Tennessee

For Office Use Only

GENERAL PARTNERSHIP
(Statement of Dissociation) Corporate Filings 312 Eighth Avenue North 6th Floor, William R. Snodgrass Tower Nashville, TN 37243

1. The name of the general partnership (as recorded with the Secretary of State) is:

2. The name of the partner hereby dissociated from the partnership is:

The execution of this statement constitutes an affirmation under the penalties of perjury that the undersigned has/have the authority to file this statement and that the contents of the statement are accurate.

Signed and dated this _______ day of ____________________, _______ _________________________________ Signature _________________________________ Signature ________________________________ Printed Name ________________________________ Printed Name

Note: A document filed by a partnership must be executed by at least two partners. Other documents must be executed by a partner or other person authorized by the Revised Uniform Partnership Act.

SS-4516

Filing Fee: $20

RDA pending