State of Utah DEPARTMENT OF COMMERCE Non-Refundable Processing Fee: [ ] New Filing $22.00 Division of Corporations & Commercial Code Application for Limited Liability Partnership Registration of this name does not guarantee exclusive right to disregard protection against unauthorized use of this name (U.C.A. Section 48-1-42). The last words of the name must be "Limited Liability Partnership" (LLP). 1. Limited Liability Partnership Name:___________________________________________________________ 2. Purpose of the Limited Liability Partnership:_____________________________________________________ 3. Principal Address:__________________________________________________________________________ Street Address Only City State Zip 4. Number of Partners (Minimum 2):_______ Registered Agent: 5. _____________________________________ ______________________________________ Print Name of Registered Agent Signature of Registered Agent 6. __________________________________________________________________Utah____________________ Street Address City Zip (Utah Street Address Required, PO Boxes can be listed after the street address) Authorized Partner(s) attach additional pages if needed: 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. ___________________________________________ ______________________________________________ Print Name Signature ____________________________________________________________________________________________ Street Address City State Zip ___________________________________________ ______________________________________________ Print Name Signature ____________________________________________________________________________________________ Street Address City State Zip ___________________________________________ ______________________________________________ Print Name Signature ____________________________________________________________________________________________ Street Address City State Zip Where to file: Limited Liability Partnerships will send completed form(s) with a non-refundable processing fee of $22.00 to the Division of Corporations. Means of payment are: cash, check, or money order made payable to the "State of Utah". Please include one (1) self addressed envelope with application. If you are faxing you must include, on a cover sheet, the number of a VISA, MasterCard or American Express with the date of expiration. 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. Mailing/Faxing Information: www.corporations.utah.gov/contactus.html Division's Website: www.corporations.utah.gov Mail In: PO Box 146705 Salt Lake City, UT 84114-6705 Walk In: 160 East 300 South, Main Floor Information Center: (801) 530-4849 Toll Free: (877) 526-3994 (within Utah) Fax: (801) 530-6438 American LegalNet, Inc. www.FormsWorkflow.com