Delaware Division of Corporations 401 Federal Street – Suite 4 Dover, DE 19901 Ph: 302-739-3073 Fax: 302-739-3812 Statement of Qualification of Limited Liability Limited Partnership Dear Sir or Madam: Enclosed is the Statement of Qualification of a Delaware Limited Liability Limited Partnership to be filed in accordance with the Limited Partnership Act of the State of Delaware. Please be advised a Certificate of Limited Partnership must be filed prior to or simultaneously with the Statement of Qualification. The fee to file the Statement is $200.00 per partner. Please make your check payable to “Delaware Secretary of State”. 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) 7393073. Sincerely, Department of State Division of Corporations encl. rev. 07/06 American LegalNet, Inc. www.FormsWorkflow.com STATE OF DELAWARE STATEMENT OF QUALIFICATION 1. The name of the limited liability limited partnership is _____________________ _________________________________________________________________. 2. The address of its registered office in the State of Delaware is ________________ __________________________________________________________________ _________________________________________________________________. The name and address of the registered agent is___________________________ _________________________________________________________________. 3. The number of partners of the limited liability limited partnership is __________. 4. The partnership elects to be a limited liability limited partnership. IN WITNESS WHEREOF, the undersigned have executed this Statement of Qualification this ______ day of ____________________, ____________A.D. By:_______________________________ General Partner Name:_______________________________ Type or Print American LegalNet, Inc. www.FormsWorkflow.com