(For Office Use Only)
CO
VER LETTER
TO: Rein
statement Section
Division of Corporations
SUBJECT:
(Name of Partnership)
DOCUMENT NUMBER:
T
he enclosed Amendment to Partnership Statement and fee(s) are submitted for filing.
P
lease return all correspondence concerning this matter to the following:
(Name of Person)
(Firm/Company)
(Address)
(City/State and Zip Code)
____
__________________________________________________________________________________
E-mail address: (to be used for future annual report notification)
F
or further information concerning this matter, please call:
At ( )
(Name of Person) (Area Code) (Daytime Telephone Number)
Mailing Address:
Rsinstatement Section
Division of Corporations
P.O. Box 6327
Tallahassee, FL 32314
Street Address:
Reinstatement Section
Division of Corporations
The Centre of Tallahassee
2415 N. Monroe Street, Suite 810
Tallahassee, FL 32303
C
R2E073 (9/15)
AMENDMENT TO PARTNERSHIP STATEMENT
P
ursuant to section 620.8105(7), Florida Statutes, this partnership submits the following to amend a partnership statement:
(Note: An amendment to a partnership statement cannot be filed with the Florida Department of State unless the partnership
statement being amended was previously filed and is of record with this office.)
FIRST: The name of the partnership is:
SECOND: The partnership was registered with the Florida Department of State on
and assigned registration number .
T
HIRD: This amendment is to amend the following statement
S
tatement of Partnership Authority, filed on ____________, assigned document number GP _________________.
Statement of Dissolution, filed on ____________, assigned document number GP _________________.
Statement of Denial, filed on ____________, assigned document number GP _________________.
Statement of Dissociation, filed on ____________, assigned document number GP _________________.
Statement of Merger, filed on ____________, assigned document number GP _________________.
Statement of Limited Liability Partnership Qualification, filed on ____________, assigned document
number LLP _________________.
FOURTH: Text/Substance of Amendment:
FIFTH: Effective date, if other than the date of filing: .
(Effective date cannot be prior to the date of filing nor more than 90 days after the date of filing.)
N
OTE: If the date inserted in this block does not meet the applicable statutory filing requirements, this date will not
be listed as the document’s effective date on the Department of State’s records.
T
he execution of this statement constitutes an affirmation under the penalties of perjury that the facts stated herein are true.
I a
m aware that any false information submitted in a document to the Department of State constitutes a third degree
felony as provided for in s. 817.155, F.S.
S
igned this _____ day of ____________________________, _______.
Signature of a partner or authorized person:
Typed or printed name of person signing above:
Filing Fee: $25.00
Certified copy: $52.50 (optional)
Certificate of Status: $ 8.75 (optional)