Delaware Division of Corporations 
                            401 Federal Street – Suite 4 
                            Dover, DE 19901 
                            Ph: 302-739-3073 

                                                              Annual Report 
                                           for Limited Liability Partnership 
                                                                                  
Dear Sir or Madam:  
 
       Enclosed please find a form for an Annual Report of a Limited Liability Partnership 
to be filed in accordance with Section 15-1003 of the Revised Uniform Partnership Act of the 
State of Delaware. The fee to file the Certificate is $200.00 per partner.  You will receive a 
stamped “Filed” copy of your submitted document. A certified copy may be requested for an 
additional $50. Expedited services are available. Please contact our office concerning these 
fees or you may consult our fee chart at www.corp.delaware.gov.  Please make your check 
payable to “Delaware Secretary of State”. 
        
                                                              st
       Please note the Annual Report is due in our office on or before June 1 .  
 
       For the convenience of processing your order in a timely manner, please include a 
cover letter with your name, address and telephone/fax number to enable us to contact you if 
necessary. Please make sure you thoroughly complete all information requested on this form. 
It is important that the execution be legible, we request that you print or type your name 
under the signature line.  
 
       Thank you for choosing Delaware as your corporate home. Should you require 
further assistance in this or any other matter, please don’t hesitate to call us at (302) 739-
3073.  
 
                                           Sincerely,  
 
                                           Department of State  
                                           Division of Corporations 
 encl. 
 rev. 05/19 
 

Special Instructions – Annual Report of a Limited Liability 
Partnership 
 
This form is to be used as a Template only. The following 
instructions will help you in correctly completing your Annual 
Report. The instructions will be numbered to correspond with the 
article it is referencing. 
 
 1.  The current name of the limited liability partnership exactly 
    as it appears in our records.  Please visit our website to 
    verify the name.   
     
 2. List the current number of partners in the limited liability 
    partnership. 
  
 3. List the name and address of the Delaware registered agent 
    you are appointing to accept service of process for the 
    limited liability partnership. 
  
 Execution Block - The document must be signed by an 
    authorized person or partner of the limited liability 
    partnership pursuant to Section 15-105 of Title 6, Chapter 
    15.  The name of the person must be typed or written legibly 
    underneath the signature. 
 
This form contains information required by statute; if you need to 
add additional information permitted by statute you may draft a 
new document.  Please feel free to call our office at 302-739-3073 
for assistance in completing this form. 
 
Sincerely, 
 
Delaware Division of Corporations   

     STATE OF DELAWARE 
     ANNUAL REPORT FOR 
      LIMITED LIABILITY PARTNERSHIP 
 
The limited liability partnership organized and existing under the Revised Uniform 
Partnership Act of the State of Delaware, hereby certifies as follows: 
 
1.   The name of the limited liability partnership is____________________________ 
_______________________________________________________________________. 
 
2.   The number of partners in the limited liability partnership is_________________. 
 
3.   The Registered Office of the limited liability partnership in the State of Delaware 
is located at _____________________________________________________________ 
_____________________________(street) in the City of _________________________, 
Zip code ____________________.  The name of the Registered Agent at such address 
upon whom process against the limited liability partnership may be served is 
_______________________________________________________________________. 
 
     By:____________________________________ 
     Authorized Partner/Person 
                        
     Name:____________________________________ 
     Print or Type