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Amendment to Annual Report--Limited Liability Partnership (Oregon)

This is an amendment to the annual report for a domestic or foreign limited liability partnership in Oregon. The form provided here is simply a sample of what the actual Form CR167 looks like.

CR167

Phone: (503) 986-2200
Fax: (503) 378-4381
Secretary of State
Corporation Division
255 Capitol St. NE, Suite 151
Salem, OR 97310-1327

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For office use only

Check the appropriate box below:

Entity Type ____ DOMESTIC ____ FOREIGN

Registry Number: ________________________________

Attach Additional Sheet if Necessary
Please Type or Print Legibly in Black Ink - NO Filing Fee

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Amendment to Annual Report--Limited Liability Partnership

1) Name of Entity __________________________________

2) Principal Place of Business (street address)

Address __________________________________

City __________________________________

State __________________________________

Zip __________________________________

3) Mailing Address

Address __________________________________

City __________________________________

State __________________________________

Zip __________________________________

PARTNERS NAME AND ADDRESSES

4) Partners (Name and street address)

Name __________________________________

Address __________________________________

City __________________________________

State __________________________________

Zip __________________________________


Name __________________________________

Address __________________________________

City __________________________________

State __________________________________

Zip __________________________________

5) Execution

Signature: __________________________________

Printed Name: __________________________________

Title: __________________________________

Date: __________________________________

6) Contact Name __________________________________

Daytime Phone Number - Including Area Code _______________________

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