Form SS-9428 "Statement of Termination Following Administrative Dissolution (Limited Partnership)" - Tennessee

What Is Form SS-9428?

This is a legal form that was released by the Tennessee Secretary of State - a government authority operating within Tennessee. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2018;
  • The latest edition provided by the Tennessee Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form SS-9428 by clicking the link below or browse more documents and templates provided by the Tennessee Secretary of State.

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Download Form SS-9428 "Statement of Termination Following Administrative Dissolution (Limited Partnership)" - Tennessee

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Instructions: Form SS-9428
Statement of Termination Following Administrative Dissolution
Limited Partnership - Domestic
Business Services Division
Tre Hargett, Secretary of State
Submission Options
State of Tennessee
A Statement of Termination Following Administrative Dissolution of a Limited Partnership (Domestic)
may be filed using one of the following methods:
Paper submission: A blank Statement of Termination Following Administrative Dissolution of a Limited
Partnership (Domestic) may be obtained by going to
sos.tn.gov
and entering SS-9428 in the search bar;
by emailing the Secretary of State at TNSOS.CORPINFO@tn.gov, or by calling (615) 741-2286. The
Statement of Termination Following Administrative Dissolution of a Limited Partnership (Domestic)
should be typed or hand printed in dark blue or black ink.
Walk-in: A blank Statement of Termination Following Administrative Dissolution of a Limited
Partnership (Domestic) may be obtained in person at the Secretary of State’s Office at the address listed
below.
If submitting by mail, send the completed form and filing fee together in the same envelope. Mail to:
Tennessee Secretary of State
ATTN: Corporate Filing
312 Rosa L. Parks Ave FL 6
Nashville TN 37243
Fill in form very carefully; mistakes may have important legal consequences. If you have questions,
consult your attorney. The filing office cannot give legal advice.
Completing the Form
Statement of Termination Following Administrative Dissolution of a Limited Partnership (Domestic)
provisions are set forth in the Tennessee Uniform Limited Partnership Act, T.C.A. Title 61, Chapter 3,
Part 8.
1. The Secretary of State Control Number is: Enter the control number assigned to the Limited
Partnership. To find entity information, including the Secretary of State control number, visit:
https://tnbear.tn.gov/ECommerce/FilingSearch.aspx
Instructions: SS-9428
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P a g e
Instructions: Form SS-9428
Statement of Termination Following Administrative Dissolution
Limited Partnership - Domestic
Business Services Division
Tre Hargett, Secretary of State
Submission Options
State of Tennessee
A Statement of Termination Following Administrative Dissolution of a Limited Partnership (Domestic)
may be filed using one of the following methods:
Paper submission: A blank Statement of Termination Following Administrative Dissolution of a Limited
Partnership (Domestic) may be obtained by going to
sos.tn.gov
and entering SS-9428 in the search bar;
by emailing the Secretary of State at TNSOS.CORPINFO@tn.gov, or by calling (615) 741-2286. The
Statement of Termination Following Administrative Dissolution of a Limited Partnership (Domestic)
should be typed or hand printed in dark blue or black ink.
Walk-in: A blank Statement of Termination Following Administrative Dissolution of a Limited
Partnership (Domestic) may be obtained in person at the Secretary of State’s Office at the address listed
below.
If submitting by mail, send the completed form and filing fee together in the same envelope. Mail to:
Tennessee Secretary of State
ATTN: Corporate Filing
312 Rosa L. Parks Ave FL 6
Nashville TN 37243
Fill in form very carefully; mistakes may have important legal consequences. If you have questions,
consult your attorney. The filing office cannot give legal advice.
Completing the Form
Statement of Termination Following Administrative Dissolution of a Limited Partnership (Domestic)
provisions are set forth in the Tennessee Uniform Limited Partnership Act, T.C.A. Title 61, Chapter 3,
Part 8.
1. The Secretary of State Control Number is: Enter the control number assigned to the Limited
Partnership. To find entity information, including the Secretary of State control number, visit:
https://tnbear.tn.gov/ECommerce/FilingSearch.aspx
Instructions: SS-9428
1 |
P a g e
2. The name of the business entity at the time of dissolution is: Enter the exact legal name of the
Limited Partnership as it was listed on the date of dissolution on the records of the Tennessee
Secretary of State. To find entity information, including the exact legal name, visit:
https://tnbear.tn.gov/ECommerce/FilingSearch.aspx.
NOTE:
Prior to this document being accepted for filing, the Business Services Division will
request tax clearance verification for termination from the Tennessee Department of
Revenue. If we cannot obtain such tax clearance verification from the Department of
Revenue, this document will be rejected and returned to the applicant. To obtain the
Tax Clearance for Termination, contact the Tennessee Department of Revenue at
615-253-0700.
3. The Limited Partnership is terminated: The Limited Partnership will be terminated upon the
Statement of Termination Following Administrative Dissolution of a Limited Partnership (Domestic)
being filed by the Division of Business Services.
Signature
The Statement of Termination Following Administrative Dissolution of a Limited Partnership (Domestic)
must be signed by a partner of the Limited Partnership. The partner executing the document must sign
and date the form in the appropriate spaces. Type or print the signature name and title of the signer.
Filing Fee
The filing fee is $100.00.
Make check, cashier’s check or money order payable to the Tennessee Secretary of State. Cash is only
accepted for walk-in filings. Forms submitted without the proper filing fee or made payable to an entity
other than the Tennessee Secretary of State will be rejected.
Instructions: SS-9428
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P a g e
STATEMENT OF TERMINATION FOLLOWING ADMINISTRATIVE
DISSOLUTION (LIMITED PARTNERSHIP)
SS-9428
Division of Business Services
For Office Use Only
Department of State
State of Tennessee
ATTN: Corporate Filing
312 Rosa L. Parks Ave, 6th FL
Nashville, TN 37243-1102
(615) 741-2286
Tre Hargett
Secretary of State
Filing Fee: $100.00
Pursuant to the provisions of T.C.A. Title 61, Chapter 3, Part 8 of the Tennessee Uniform Limited
Partnership Act, the undersigned Limited Partnership submits the following statement of termination
following administrative dissolution:
1. The Secretary of State Control Number is:
2. The name of the business entity at the time of dissolution is:
3. The Limited Partnership is terminated.
NOTE: Prior to this document being accepted for filing, the Business Services Division will request tax
clearance verification for termination from the Tennessee Department of Revenue. If we cannot obtain
such tax clearance verification from the Department of Revenue, this document will be rejected and
returned to the applicant. To obtain Tax Clearance for termination, contact the Tennessee Department
of Revenue at 615-253-0700.
Title/Signer’s Capacity
Signature
Date
Printed Name
-
Phone #: (______) ________
__________
Submitter Name:
SS-9428 (Rev.02/18)
All information on this form is public record.
RDA 2135
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