STATEMENT OF MERGER
PARTNERSHIP OR LIMITED PARTNERSHIP
TO: MUSCOGEE (CREEK) NATION SECRETARY OF THE NATION
P.O.
Box 580
Okmulgee, OK 74447
(918) 549-2607
SPECIAL INSTRUCTIONS: Submit this form to file a merger of one or more partnerships or limited
partnerships into a surviving partnership or limited partnership pursuant to Section 1-907 of the Muscogee
(Creek) Nation Partnership Act.
1. The name of each partnership or limited partnership that is a party to the merger are:
NAME OF ENTITY TYPE OF ENTITY
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
2. The name of the surviving or resulting business entity:
________________________________________________________________________________________
3. The street address of the surviving entity’s chief executive office is the following address:
_____________________________________________________________________________________
Street Address City State Zip Code
4. The street address of an office in the Muscogee (Creek) Nation, if any is the following address:
_____________________________________________________________________________________
Street Address City State Zip Code
5. The surviving entity is a: _____ partnership _____ limited partnership. (Check One)
6. The plan or merger was approved and executed as required by law by each partnership or limited
partnership which is to merge. If the effective date of the merger is not the date of filing of the certificate of
merger, then please list the effective date of the merger: ______________________ .
IN WITNESS WHEREOF, such surviving or resulting entity has caused this statement of merger to
be executed this _______ day of ____________________, _______.
_____________________________________ _______________________________________
Signature Signature
_____________________________________ _______________________________________
Type or Print Name & Title, If applicable Type or Print Name & Title, If Applicable
FILING FEE: $50.00
PRINT CLEARLY
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
