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Application for Reinstatement Following Administrative Dissolution/Revocation (Tennessee)

This is reinstatement following administrative dissolution/revocation of a limited liability partnership in Tennessee. The form provided here is simply a sample of what the actual Form SS 4496 looks like.

For Office Use Only


Corporate Filings
312 Eighth Avenue North
6th Floor, William R. Snodgrass Tower
Nashville, TN 37243

Pursuant to the provisions of the Tennessee Uniform Partnership Act, Section 61-1-143, this application is submitted to the Office of the Secretary of State, State of Tennessee, for reinstatement.

1. The name of the Limited Liability Partnership is: ________________________

(Name change if applicable) ________________________

2. The effective date of its administrative dissolution/revocation is ________________________ (must be month, day and year)

3. The ground(s) for the administrative dissolution/revocation

____ did not exist.

____ has/have been eliminated.

[NOTE: Please mark the applicable box.]

4. The Limited Liability Partnership name as listed in number one (1) satisfies the requirements of the Tennessee Limited Liability Partnership Act Section 61-1-145, as appropriate.

5. The Limited Liability Partnership control number assigned by the Secretary of State, if known, is


Signature Date ________________________

Name of Limited Liability Partnership ________________________

Signer's Capacity ________________________

Signature ________________________

Name ________________________ (typed or printed)

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