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Year 2001, and ending month day year Partner s identifying number Partner s name, address, state, and ZIP Code Partnership s FEIN Secretary of State file number Partnership s name, address, state, and ZIP Code A Is this partner a: (1) general partner; or (2) limited partner? B What type of entity is this partner? (1) (2) (3) (4) Individual S Corporation Estate/Trust C Corporation (5) General Partnership (6) Limited Par.

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