Application For Limited Liability Partnership - Utah Department Of Commerce

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State of Utah

This form must be type written or computer generated.

Department of Commerce

Clear Form

Division of Corporations & Commercial Code

Application for Limited Liability Partnership

Non-Refundable Processing Fee: [ ] New Filing $22.00

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).

When approved, your Limited Liability

Partnership is registered for one (1) year.

1. Limited Liability Partnership Name:

2. Purpose of the Limited Liability Partnership:

3. Number of Partners (Minimum 2):

4. Who/What is the name of the Registered Agent (Individual or Business Entity or Commercial Registered Agent)?:

____________________________________________________________________________________________

What is a commercial registered agent?

The address must be listed if you have a non-commercial registered agent. See instructions for further details.

______________________________________________________________

Address of the Registered Agent:

Utah Street Address Required, PO Boxes can be listed after the Street Address

City:

State UT

Zip:

5. Authorized Partner:

Name: __________________________________________________________________

(Partners are optional)

__________________________________________________________________

Street Address

___________________________________________________________________________________________________

City

State

Zip

5b. Authorized Partner:

Name: __________________________________________________________________

(Partners are optional)

__________________________________________________________________

Street Address

Attach additional pages if needed to

list more partners

___________________________________________________________________________________________________

City

State

Zip

6. 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.

Authorized Partner must sign here after the form is printed

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.

Optional Inclusion of Ownership Information: This information is not required.

Is this a female owned business?

Yes

Select/Type the race of the owner here

Is this a minority owned business?

Yes

If yes, please specify:

Division's Website:

Mailing/Faxing Information: