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Alaska Limited Partnership Merger Form

To apply for the merging of multiple limited partnerships in Alaska, the official representative must submit the following to the Division of Corporations, Business, and Professional Licensing: (1) an accomplished version of this form and (2) a check for the $15.00 filing fee.

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08-511 (Rev.02/12/2012)  Statement of Merger Instructions    
  	
 	
STATEMENT OF MERGER 	
Domestic Limited Partnership 
AS 32.06.905 – 32.06.907 	
Filing Fee: $25.00 (non-refundable)	 	
 
INSTRUCTIONS (Please retain for your records): 
 
Refer to Alaska Statutes 32.06.905 – 32.06.907. The limited partnership that survives or results from a 
merger under this chapter shall file with the department a statement of merger signed by all general 
partners of each partnership party to the merger.  
 
ITEM 1: Provide the name(s) and, if applicable, the Alaska Entity Number(s) of the merging entities.   
 
ITEM 2: Provide the name and, if applicable, the Alaska Entity Number of the surviving or resulting entity. 
 
ITEM 3: The following statement is required by statute: A plan of merger has been approved and signed by 
each limited partnership party to the merger and meets the requirements set out in AS 32.06.905.  
 
ITEM 4: List the street address of the surviving entity’s chief executive office. If there are additional offices 
located in the State of Alaska, please list them on a separate, attached sheet.  
 
ITEM 5: Indicate if the surviving entity is a partnership or a limited partnership.     
 
ITEM 6: Signatures  
The Statement of Merger must be signed by all general partners of each entity party to the merger. Attach 
additional sheets for each merging entity, if necessary.  
 
NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in 
material respects are guilty of a class A misdemeanor.     
 
Mail the Statement of Merger and the non-refundable $25.00 filing fee in U.S. dollars to: 
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 
 
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
approximately 10-15 business days. All applications are reviewed in the date order they are received.  	
 	State of Alaska 
Division of Corporations, Business and Professional Licensing 
CORPORATIONS SECTION 
PO Box 110806 
Juneau, AK  99811-0806 
Phone: (907) 465-2550 
Fax: (907) 465-2974 
Website: www.commerce.alaska.gov/occ

08-511 (Rev. 02/01/2012)    Page 1 of 2      
 
 	State of Alaska 
Division of Corporations, Business and Professional Licensing 
CORPORATIONS SECTION 
PO Box 110806 
Juneau, AK  99811-0806 
Phone: (907) 465-2550 
Fax: (907) 465-2974 
Website: www.commerce.alaska.gov/occ	
 	
DO NOT STAMP ABOVE THIS BOX 
Office Use Only	       CORP	 
 
 
 
 	
 
STATEMENT OF MERGER 	
Domestic Limited Partnership 
AS 32.06.905 – 32.06.907 	
   	  $25.00 Filing Fee (non-refundable)	 	 	
Pursuant to Alaska Statutes 32.06.905 – 32.06.907, the Statement of Merger shall be executed by each limited 
partnership party to the merger.  
 
ITEM 1: Name of the merging entity:  Alaska Entity # (if applicable): 
 
  
 
Name of the merging entity:               Alaska Entity # (if applicable): 
 
  
Attach a separate sheet with additional entities, if necessary.  
 
ITEM 2: Name of the surviving entity:           Alaska Entity # (if applicable): 
 
  
 
ITEM 3: A plan of merger has been approved and signed by each limited partnership party to the merger and 
meets the requirements set out in AS 32.06.905. 
 
ITEM 4: List the street address of the surviving entity’s chief executive office (if there are additional offices in 
this state, please list them on a separate page):    
 
Name: 
Physical address: 
Mailing address: 
 
ITEM 5: Please select the entity type of the surviving entity. 
 
  The surviving entity is a partnership. 
  The surviving entity is a limited partnership.

08-511 (Rev. 02/01/2012)    Page 2 of 2      
 
 
ITEM 6: The Statement of Merger must be signed by all general partners of each entity party to the merger. 
Attach additional sheets for each merging entity, if necessary.   
 
Name of the merging entity:         
 
 
    
Signature     Printed name   Title    Date 
    
Signature     Printed name   Title    Date 
 
Name of the merging entity:         
 
 
    
Signature     Printed name   Title    Date 
    
Signature                          Printed name         Title        Date 
 
Name of the merging entity:         
 
 
    
Signature     Printed name   Title    Date 
    
Signature                          Printed name         Title        Date 
 
NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in 
material respects are guilty of a class A misdemeanor.  
 
Mail the Statement of Merger and the non-refundable $25.00 filing fee in U.S. dollars to: 
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 
 
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
approximately 10 – 15 business days. All applications are reviewed in the date order they are received.

08-561 (Rev. 02/01/2012)        Page 1 of 1      
 	State of Alaska 
Division of Corporations, Business and Professional Licensing 
CORPORATIONS SECTION 
PO Box 110806 
Juneau, AK  99811-0806 
Phone: (907) 465-2550 
Fax: (907) 465-2974 
Website: www.commerce.alaska.gov/occ	
 	
DO NOT STAMP ABOVE THIS BOX 
Office Use Only	       CORP	 
 
 
 
 	
 
 
CONTACT INFORMATION SHEET  	
 
Please return this document with your filing. This information will only be used to resolve questions with the filings 
attached. NOTE: this form will not be filed for record or appear online. 
 
Name of entity as it appears on filing: 
 
 
 
To resolve questions with this filing, contact: 
Name: 
Email: Phone: 
Mailing address: 
 
Return documents to: 
Name: 
Company: 
Mailing address: 
 
Attach this form to your filings. Send all documents to: 
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 
 
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
approximately 10-15 business days. All applications are reviewed in the date order they are received.
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