GENERAL PARTNERSHIP - STATEMENT OF PARTNERSHIP AUTHORITY (SS-4514)
Business Services Division
Tre Hargett, Secretary of State
State of Tennessee
312 Rosa L. Parks AVE, 6th FL.
Nashville, TN 37243-1102
Filing Fee: $20.00
For Ofce Use Only
1. Name of the general partnership (as will be recorded with the Secretary of State) is:
2a. The street address of the chief executive ofce is:
Physical Street Address:
City: ST: Zip County:
2b. The mailing address of the chief executive ofce (if different from the physical street address) is:
Mailing Address:
City: ST: Zip County:
3. The street address of one of its ofces in Tennessee (if any) is:
Physical Street Address:
City: ST: Zip County:
4. The names of the partners authorized to execute an instrument transferring real property held in the name of the
partnership are:
5. If applicable, state the authority, or limitations on the authority, of some or all of the partners to enter into other
transactions on behalf of the partnership and any other matter (attach a separate sheet if necessary):
6. If applicable, this general partnership has the additional designation of:
The execution of this statement constitutes an afrmation under the penalties of perjury that the undersigned has/have the
authority to le this statement and that the contents of the statement are accurate.
Signature Printed Name Signature Date
Signature Printed Name Signature Date
Notes:
• A Statement of Partnership Authority led by a partnership must be executed by at least two partners. Other documents
must be executed by a partner or other person authorized by the Revised Uniform Partnership Act.
• This statement is cancelled by operation of law ve years after the date on which the statement, or the most recent
amendment, is led with the Secretary of State.
SS-4514 (07/14) RDA pending
*Note: Pursuant to T.C.A. § 10-7-503 all information on this form is public record.
