SIGNATURE INNS INC/IN
15-12G, 1999-05-07
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<PAGE>
 
                      SECURITIES AND EXCHANGE COMMISSION
                            Washington, D.C.  20549
 
                                    FORM 15

                  Certification and Notice of Termination of
              Registration under Section 12(g) of the Securities
                 Exchange Act of 1934 or Suspension of Duty to
                   File Reports Under Sections 13 and 15(d) 
                    of the Securities Exchange Act of 1934.

                                    0-9659
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                           (Commission File Number)


                             SIGNATURE INNS, INC.
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            (Exact name of registrant as specified in its charter)

 
 250 East 96th Street, Suite 450, Indianapolis, Indiana 46240; (317) 581-1111
- --------------------------------------------------------------------------------
   (Address, including zip code, and telephone number, including area code, 
                 of registrant's principal executive offices)

 
   Cumulative Convertible Preferred Stock, Series A, No Par Value Per Share
- --------------------------------------------------------------------------------
           (Title of each class of securities covered by this Form)

 
                                     None
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     (Titles of all other classes of securities for which a duty to file 
                 reports under section 13(a) or 15(d) remains)

 
     Please place an X in the box(es) to designate the appropriate rule
provision(s) relied upon to terminate or suspend the duty to file reports:
- --------------------------------------------------------------------------------

     Rule 12g-4(a)(1)(i)   [X]                  Rule 12h-3(b)(1)(ii)  [_]
     Rule 12g-4(a)(1)(ii)  [_]                  Rule 12h-3(b)(2)(i)   [_]
     Rule 12g-4(a)(2)(i)   [_]                  Rule 12h-3(b)(2)(ii)  [_]
     Rule 12g-4(a)(2)(ii)  [_]                  Rule 15d-6            [_]
     Rule 12h-3(b)(1)(i)   [X]
 
   Approximate number of holders of record as of the certification or notice
              date: 0 (Signature being merged out of existence) 
                    -


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