Form Gd 53-01 - General Partnership/limited Liability Partnership Statement Of Dissolution
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1Fees 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
GD
General Partnership/Limited Liability Partnership
Kansas Secretary of State
Statement of Dissolution
Ron Thornburgh
53-01
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
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
The above-named partnership has dissolved and is winding up its business.
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.
Day
Month
Year
Signature
Instructions
1. A certified copy of a statement of dissolution filed in another state may be filed instead.
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
K.S.A. 56a-105, 56a-805
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