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Minnesota LLP Amendment Form

In the case of a limited liability partnership wanting to modify information that has already been submitted to the Secretary of State’s office in the State of Minnesota, the following form has to be completed and submitted.

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Office of the Minnesota Secretary of State 	
Statement of Amendment or Cancellation 	
Minnesota Statutes, Chapter 323A 	
 
Read the instructions before completing this form.  
Filing Fee:  $155 for expedited service in-person and online filings, $135 if submitted by mail 
 
A person who files a statement pursuant to this section  shall promptly send a copy of the statement to every 
non-filing partner and to any other person named as a partner in the statement. 
 
1. Limited Liability Partnership Name: (Required) 
 
2. Alternate Name used in Minnesota, in an y: (Only applies to foreign partnerships) 
      
        
3. Identif
y the statement below that this am
endm

ent or cancellation pertains to: (Required) (Check ONE box only) 
 	
 Limited Liability Partnership Statement  
 Statement of Partnership Authority 
 
 Statement of Dissolution 
 
 Statement of Merger 
 
 Statement of Dissociation 
 
 Statement of Denial 
 
4. Enter the text of your amendment OR cancellation in th e box provided: (NOTE: Use an additional sheet if needed) 
(Required) 
      
 	
5.  I, the undersigned, certify that I am  signing	

 this document as the person whose signature is required, or as agent of the     
person(s) whose signature would be required who has authorized me to sign this document on his/her behalf, or in both 
capacities.  I further certify that I have completed all required fi elds, and that the information in this document is true and 
correct and in compliance with the applicable chapter of Minn esota Statutes.  I understand that by signing this document I 
am subject to the penalties of perjury as set forth in Se ction 609.48 as if I had signed this document under oath. 
      
      
Signature of at Least Two Partners or of the Agent           	
 
If you are signing as the agent for additional parties and the parties are not named in this document, and the additional 
parties’  	

signatures are required by law, please list your na me in the box followed by “and as agent for (insert names of 
other parties)”

Office of the Minnesota Secretary of State      	
Statement of Amendment or Cancellation          
   Minnesota Statutes, Chapter 323A  	
  
 
 
Email Address for Official Notices 
 
Enter an email address to which the Secretary of State can  forward official notices required by law and other notices: 
    
       
 	
  Check here to have your email address excluded from requests for bulk data, to the extent allowed by Minnesota law. 
 
 
List a name and daytime phone number of a p erson who can be contacted about this form: 
   
        	
  Contact Name   
       
 	

     Phone Number       
 
Entities that own, lease, or have any financial interest in agricultural land or land capable of being farmed
must register with the MN Dept. of Agriculture’s Corporate Farm Program.
   
 
Does 	

this entity own, lease, or have any financial interest  in agricultural land or land capable of being farmed?  
Yes 	
    No

INSTRUCTIONS  	
File your business document online by visiting our website at www.sos.state.mn.us	.   
 
This form is intended merely as a guide for filing and is not in tended to cover all situations.  Retain the original signed 
copy of this document for your records and submit a legible photocopy for filing with the Office of the Secretary of State. 
 
A person who files a statement pursuant to this section shall promptly send a copy of the  
statement to every non-filing partner and to any ot her person named as a partner in the statement. 
 
1.  List the name the partnership in the jurisdiction in which it is organized 
 
2.  If applicable, list the alternate name u sed in Minnesota.  Note:  This only appli es for foreign partnerships that are using 
an alternate name in Minnesota. 
 
3.  Check the statement with respect to which this am endment or cancellation is filed. Only check ONE box. 
 
4.  Enter your specific amendment OR cancellation in the box  provided. Please provide an attachment if there is not 
enough room to complete this section. 
 
5. If this document is being filed on behalf  of the partnership, it must be signed by at least two partners who are authorized 
to sign the registration or by an Authorized Agent (The signing party must indicate on the document that they are 
acting as the agent of the person(s) whose signature would be  required and that they have been authorized to sign on 
behalf of that person(s).). 
 
Email Address for Official Notices.   This email address may  be 	
 used to send annual renewal reminders and other
important notices that may require  action or response.  Check the box if you wish to have  your email address excluded
from requests for bulk data , to the extent allowed by Minnesota law. 
 
List a name and daytime telephone number of a person who can be contacted about this form. 
 
Filing Fee:  $155 for expedited service in-person and online filings, $135 if submitted by mail
Payable to the MN Secretary of State 
 
Please 	

submit all items together and mail to the address below: 
  FILE IN-PERSON OR MAIL TO: 
Minnesota Secretary of State - Business Services  
Retirement Systems of Minnesota Building  60 Empire Drive, Suite 100 St Paul, MN  55103 
(Staffed 8 a.m. – 4 p.m., Monday - Friday, excluding holidays)   
Phone Lines:  (9 a.m. - 4 p.m., M-F)  Metro Area 651-296-2803; Greater MN 1-877-551-6767 
 
All of the information on this form is public.  Minnesota law requires certain information to  be provided for this type of 
filing.  If that information is not included, your document may be returned unfiled.  This document can be made available 
in alternative formats, such as large print, Braille or a udio tape, by calling (651)296-2803/voice.  For a TTY/TTD (deaf 
and hard of hearing) communication, contact the Minnesota Relay Service at 1-800-627-3529 and ask them to place a call 
to (651)296-2803.  The Secretary of State's Office does not  discriminate on the basis of race, creed, color, sex, sexual 
orientation, national origin, age, marital status, disability,  religion, reliance on public assistance or political opinions or  
affiliations in employment or the provision of service.	
  	
 
 	StatementofamendmentcancellationRev.6/1/2012
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