Fees will increase September 1, 2003. If you file this report
before September 1, the fee is $20.00. If you file this report after
September 1, the fee is $35.00.
KANSAS SECRETARY OF STATE
Contact Information
GL
General Partnership/Limited Liability Partnership
Kansas Secretary of State
Statement of Denial
Ron Thornburgh
53-13
Memorial Hall, 1st Floor
All information must be completed or this document will not be accepted for filing.
120 S.W. 10th Avenue
Topeka, KS 66612-1594
(785) 296-4564
Print
Reset
Please complete the form, print, sign and
mail to the Kansas Secretary of State with
the filing fee. Selecting 'Print' will print
1. Name of the partnership:
the form and 'Reset' will clear the entire
__________________________________________________
form.
Name must match the name on record with the secretary of state
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 in duplicate with the $35 filing fee.
Notice: There is a $25 service fee for all returned checks.
Rev. 8/11/03 jb
K.S.A. 56a-304