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                                                                                    Link to Limited Liability Partnership Registration Information Change Form Addendum
          State of Utah              This form cannot be hand written.
          Department of Commerce                                                                      Print Form          Instructions              Clear Form
          Division of Corporations & Commercial Code 
          Limited Liability Partnership Registration Information Change Form
              
Non-Refundable      Processing Fee: $15.00                Entity File Number: _________________________ 
Entity  Name: ___________________________________________________________________________________________ 
                             For each Yes button that you mark the question will appear below for you to fill out. 
1). Do you want to Change the Business Purpose?                                                                           Yes                    No 
 
1). If Yes, what is the new Business Purpose? _______________________________________________________________________ 
 
2). Do you want to Change the Registered Agent or the Address of the Registered Agent?                                    Yes                    No 
2). If Yes, who is the new Registered Agent, or the new Address of the Registered Agent? 
 ______________________________________________________________________________________________ 
The address must be listed if you have a non-commercial registered agent. WhatSee instructionsis a commercialforregisteredfurther details. agent?
Address of the Registered Agent: __________________________________________________________________ 
      Utah Street Address Required, PO Boxes can be listed after the Street Address 
City ___________________________________________________________________________ State UT      Zip __________ 
3). Do you want to Change the Principal Address of the Business Entity?                                                   Yes                    No 
 
3). If Yes, what is the new Principal Address? 
Address: ________________________________________________ City ___________________ State ______ Zip __________ 
 
4). Do you want to Add individuals to the Business Entity?                                                                Yes                    No 
 
4). If Yes, who do you want to Add to the Business Entity and what Position will they hold? 
 
Name: ____________________________________________                             Position: ___________________________________________Select/Type the position here
 
Address: ________________________________________________ City ___________________ State ______ Zip __________ 
 
Name: ____________________________________________                             Position: ___________________________________________Select/Type the position here
 
Address: ________________________________________________ City ___________________ State ______ Zip __________ 
 
5). Do you want to Remove individuals from the Business Entity?                                                           Yes                    No 
 
5). If Yes, who do you want to Remove from the Business Entity and what Position do they hold? 
Name: _________________________________________                                Position: ___________________________________________Select/Type the position here
 
Name: _________________________________________                                Position: ___________________________________________Select/Type the position here
 
6). Do you want to Change the Address of the Business Entity’s Principal(s)?                                              Yes                    No 
 
6). If Yes, who is the Principal(s) whose Address you wish to Change? 
Name: ____________________________________________                             Position: ___________________________________________Select/Type the position here
 
Address: ________________________________________________ City ___________________ State ______ Zip __________ 
 
Name: ____________________________________________                             Position: ___________________________________________Select/Type the position here
 
Address: ________________________________________________ City ___________________ State ______ Zip __________ 
 
Optional  Inclusion of Ownership Information:  This information is not required.   
Is this a female owned business?                 Yes                No 
Is this a minority owned business?               Yes                No         If yes, please specify: _____________________________________Select/Type the race of the owner here
 
Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record.  For confidentiality purposes, you may use 
the business entity physical address rather than the residential or private address of any individual affiliated with the entity. 
Under penalties of perjury and as an authorized authority, I declare that this statement of change(s), has been examined by me and is, to the best of 
my knowledge and belief, true, correct and complete.  
 
                                                                            Sign here after printing form
Name/Title: ___________________________________ Signature: _________________________________ Date: _____________________ 
Mailing/Faxing Information:    www.corporations.utah.gov/contactus.html                       Division's Website:                 www.corporations.utah.gov
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