Statement Of Merger Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Statement Of Merger Form. This is a Arkansas form and can be use in General Partnership Secretary Of State.
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Tags: Statement Of Merger, Arkansas Secretary Of State, General Partnership
Arkansas Secre t a ry of State
Charlie Daniels
State Capitol • Little Rock, Arkansas 72201-1094
501-682-3409 • www.sos.arkansas.gov
Instructions: File with the Secretary of State's Business and Commercial Services Division, State Capitol, Little Rock,
Arkansas 72201-1094 with payment of fees. A copy will be returned to the partnership at the listed address.
PLEASE TYPE OR CLEARLY PRINT IN INK
STATEMENT OF MERGER
The undersigned, pursuant to Act 1518 of 1999, sets forth the following:
Name of Partnership or Limited partnership:
(Parties to merger)
Name of Surviving entity, including whether or not the surviving entity is a partnership or limited partnership:
Street Address of surviving entity's chief executive office:
Address of office in this State, if any:
I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State
is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days.
Authorizing Officer (Type or Print)
Filing Fee: $15.00
Authorized Signature of Partner of Surviving Entity
Rev. 4/06
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