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Form Gl 53-14 - General Partnership/limited Liability Partnership Statement Of Denial

KANSAS SECRETARY OF STATE

Contact Information

General Partnership/Limited Liability Partnership

Kansas Secretary of State

Statement of Denial

Memorial Hall, 1st Floor

53-14

120 S.W. 10th Avenue

All information must be completed or this document will not be accepted for filing.

Topeka, KS 66612-1594

(785) 296-4564

kssos@sos.ks.gov

1. Name of the partnership:

__________________________________________________

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 with the $35 filing fee.

Notice: There is a $25 service fee for all returned checks.

Rev. 12/28/10 jdr

Rev. 8/11/03 jb

K.S.A. 56a-304

Form Gl 53-14 - General Partnership/limited Liability Partnership Statement Of Denial