Contact Information
Kansas Secretary of State Ron Thornburgh Memorial Hall, 1st Floor 120 S.W. 10th Avenue Topeka, KS 66612-1594 (785) 296-4564 [email protected] www.kssos.org
KANSAS SECRETARY OF STATE
General Partnership/Limited Liability Partnership Statement of Denial
All information must be completed or this document will not be accepted for filing.
GL
53-14
Print
Reset
1. Name of the partnership: __________________________________________________
Name must match the name on record with the secretary of state
Please complete the form, print, sign and mail to the Kansas Secretary of State with the filing fee. Selecting 'Print' will print the form and 'Reset' will clear the entire form.
Do not write in this space
2. The fact that is being denied: ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ______________________________________________________________________________________________________________
I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct. Executed on the ________ of ___________ , ___________ by a partner or other person named as partner.
Day Month Year
Signature
Instructions 1. A certified copy of a statement of denial filed in another state may be filed instead of this form. 2. Submit this form with the $35 filing fee. Notice: There is a $25 service fee for all returned checks.
Rev. 12/06/04jb Rev. 8/11/03 jls K.S.A. 56a-304