MUSCOGEE (CREEK) NATION
STATEMENT OF PARTNERSHIP DISSOCIATION
TO: MUSCOGEE (CREEK) NATION SECRETARY OF THE NATION
P.O.
Box 580
Okmulgee, OK 74447
(918) 549-2607
The undersigned, for the purpose of complying with Title 3, Section 1-704, does hereby execute the following
Statement of Partnership Dissociation:
1. The name of the partnership is:
_____________________________________________________________________________________
2. The following partner, _____________________________, is dissociated from the partnership.
Signed and dated this _______ day of ______________________. _______.
DENIAL FILED BY DISSOCIATED PARTNER
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Signature
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(List Title if applicable)
____________________________
(Type or Print Name)
(SEE NEXT PAGE)
FILING FEE: $0.00
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DENIAL FILED BY PARTNERSHIP
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Signature Signature
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(List Title if applicable) (List Title if applicable)
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(Type or Print Name) (Type or Print Name)
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Signature Signature
________________________________ _________________________________
(List Title if applicable) (List Title if applicable)
________________________________ _________________________________
(Type or Print Name) (Type or Print Name)
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