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State of Arizona – Office of the Secretary of State DO NOT WRITE IN THIS PACES
Combined Certificate of Limited Partnership &
Statement of Qualification to be a Limited
Liability Partnership, A.R.S. § 29-308(C)
SEND BY MAIL TO:
Secretary of State Michele Reagan, Atten: Limited Partnerships
1700 W. Washington Street, FL. 7, Phoenix, AZ 85007-2808
OR return this application in person:
PHOENIX - State Capitol Executive Tower, TUCSON - Arizona State Complex,
1700 W. Washington Street, 1st Fl., Room 103 400 W. Congress, 1st Fl., Suite 141
Office Hours: Monday through Friday, 8 a.m. to 5 p.m., except state holidays.
IN-PERSON ONLY - We accept major credit
cards and bank debit cards.
PLEASE NOTE: All correspondence regarding this filing will be sent to the principal office identified on this certificate. FOR OFFICE SE UNLY O
SOSBSARS29308C R EV .3/12/2015
This application must be submitted with a self-addressed, stamped envelope with applicable filing fees.
INSTRUCTIONS
A limited partnership may file a combined certificate of limited Submission: Submit this certificate in duplicate (one original, one
partnership and a limited liability partnership statement of qualification If copy) with a self-addressed, stamped envelope with payment. Any
the combined filing indicates in its heading or introductory paragraph other matters, please attach additional sheets with filing.
that it contains both a certificate of limited partnership and a limited Filing Fee and Payment: $10; Plus $3 per page; Plus $3 Statement
liablity partnership statement of qualifcation. A.R.S. § 29-308(C) of Qualification. If filing by mail,make checks or money orders
When to use this form: To be filed when partnership is NOT ON payable to the: Secretary of State.
RECORD with the Secretary of State. Processing: 2-3 weeks; expedited service (24-48 hours) available for
Be Accurate: Complete all applicable fields on this form. Write legibly; an additional $25.
or fill out this application online at www.azsos.gov and print it. Website: All forms are available on the Secretary of State’s website,
Questions? Call (602) 542-6187; in-state/toll-free (800) 458-5842. www.azsos.gov.
1. Partnership information
Name of the partnership End the name with the words “Limited Partnership” or “L.P.”
Name of the Limited Liability Partnership End the name with the words “Limited Liablity Partnership” or “L.L.P.”
Name of the Limited Liability Limited Partnership End the name with the words “Limited Liablity Limited Partnership” or “L.L.L.P.”
Arizona address of chief executive office (P.O. Box or C/O are unacceptable) Phone number (include area code)
( )
City State Zip Code
AZ
2. Agent for service of process information
Agent for service of process Phone number (include area code)
( )
Arizona address of agent (P.O. Box or C/O are unacceptable) City State Zip Code
AZ
3. The Names, Addresses, and Signatures of each general partner:
Name of General Partner
Street Address City State Zip Code
Signature Month Day Year
Name of General Partner
Street Address City State Zip Code
Signature Month Day Year
Name of General Partner
Street Address City State Zip Code
Signature Month Day Year
Arizona Department of State Office of the Secretary of State Michele Reagan, Secretary of State