Free Application for Reinstatement - Illinois

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Form LP 810/906.5 January 2008
Filing Fee: $200 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. Department of Business Services Limited Liability Division 501 S. Second St., Rm 357 Springfield, IL 62756 217-785-8960 www.cyberdriveillinois.com Correspondence regarding this filing will be sent to the registered agent of the Limited Partnership unless a selfaddressed, stamped envelope is included.

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Illinois Secretary of State Department of Business Services
Application for Reinstatement

Please type or print clearly. 1. Limited Partnership Name: ______________________________________________________________________ ______________________________________________________________________________________________ 2. File Number assigned by Secretary of State: _____________________ Jurisdiction: ______________________ _____________________ ______________________ 3. Federal Employer Identification Number (F.E.I.N.)____________________________________________________ 4. Date of Dissolution/Revocation: ____________________________________________________________________________ 5. Registered Agent: __________________________________________________________________________________________
Street Address

Registered Office: ________________________________________________________________________________________
City, State, ZIP County ,

This application is accompanied by all amendments necessary to change existing information, all delinquent reports and information requirements, and all required fees. I affirm, under penalties of perjury, having authority to sign hereto, that this reinstatement is to the best of my knowledge and belief, true, correct and complete. Must be signed by a General Partner on record.
Date (month, day, year) Signature Name & Title (type or print) General Partner Name if a company or other entity

Signatures must be in BLACK INK on an original document. Carbon copy, photocopy or rubber stamp signatures my only be used on conformed copy.

Printed by authority of the State of Illinois. January 2008 -- 200 -- C LP 25.2