State of Utah DEPARTMENT OF COMMERCE Division of Corporations & Commercial Code Application for Foreign Limited Liability Partnership An Original Certification of Fact or Good Standing from the Office of the Secretary of State, or other responsible Authority of the State in which the Limited Liability Partnership is formed, must accompany this application. Non-Refundable Processing Fee: [ ] New Filing $22.00 When approved, your Limited Liability Partnership is registered for one (1) year. 1. Limited Liability Partnership name: The last words of the name must be "Limited Liability Partnership" (LLP). _________________________________________________________________________________________________ (Name of Limited Liability Partnership in the Home State) 2. This Limited Liability Partnership of the state or country of: 3. Date of formation or organization in home state: 4. Business Purpose: 5. Principal Address: ______________________________________________________ Street Address Only ______________________________________________________ City 6. Is the registered agent a commercial registered agent? The registered agent is an: Individual First: ______________________________ State YES Zip NO Entity Middle: ________________________ Last: _________________________________ Commercial Registered Agent Registration Number (required): _______________________________________________________ Registered Agent Name: _________________________________________________________________________________________ Address of the Registered Agent: ______________________________________________________________ Utah Street Address Required, PO Boxes can be listed after the Street Address City: ________________________________________________________________ State UT Zip: _______________ I hereby accept appointment as Registered Agent for the above named business entity. Signature of Registered Agent (Required). Date: 7. Number of Partners (Minimum 2): 8. General Partner Name & Address: Authorized Partner(s) attach additional pages if needed: Name: ________________________________________________ _________________________________________________ Street Address __________________________________________________________________________ City 8b. General Partner Name & Address: State Zip Signature: Name: ________________________________________________ _________________________________________________ Street Address __________________________________________________________________________ City State Zip Signature: 9. The Limited Liability Partnership shall use as its name in Utah: Must be the same as number (1) unless the name is not available in Utah. 10. Under penalties of perjury and as an authorized partner, I declare that this application, and if applicable, the statement of change of registered office and/or agent, has been examined by me and is, to the best of my knowledge and belief, true, correct, and complete. ______________________________________ _______________________________ Limited Liability Partnership Authorized Signer Signature Name & Title 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. American LegalNet, Inc. www.FormsWorkflow.com