State of Utah 
        Department of Commerce 
        Division of Corporations & Commercial Code 
        Statement  of   Qualification  (Limited Liability Partnership) Instructions 

Print

                             The form must be computer generated or typewritten. 
                   There is a non-refundable processing fee of $22 to file the application. 

1.Name of Company: Enter the name of the Limited Liability Partnership. The name of a limited liability
partnership must contain the words “Registered Limited Liability Partnership,” “Limited Liability Partnership,”
“R.L.L.P.,” “L.L.P.,” “RLLP,” or “LLP.” (see 48-1d-1105 for more information)

2.Principal office address: The primary address at which the company will be located (must be a street address).

3.Registered Agent: The Registered Agent is a business or individual designated to receive service of process
when a business entity is a party in a legal action such as a lawsuit or summons. The Division also sends all
correspondence to the Registered Agent.

The agent can either be a commercial Registered Agent or a noncommercial Registered Agent. For a commercial 
Registered Agent, all that will be needed is the agent’s name (the commercial Registered Agent’s registration 
number is not required to be listed, but it is helpful).     

For a noncommercial Registered Agent, enter the required name and address of the Registered Agent. The 
Registered Agent can be either a person or a business entity. If the Registered Agent is a business, the business 
must be registered with the Division of Corporations and in good standing.A company CANNOTserve                       as its 
own Registered Agent. A Utah street address is required. 

4. Statement of election to become a Limited Liability Partnership.

5. Partner(s): Enter the Authorized Partner(s) name and address (optional).

6. Authorized Signature: Enter AuthorizedSigner’s     name and title. Sign the document after printing.

7. Purpose: Enter the purpose of the business entity (optional).

Under GRAMA {63G-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. 

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