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08-524 (Rev. 01/07/2013) Statement of Qualification Instructions
STATEMENT OF QUALIFICATION
Domestic Limited Liability Partnership
AS 32.06.911
Filing Fee: $250.00
INSTRUCTIONS (Please retain for your records):
Refer to Alaska Statutes 32.06.911. If you need assistance in completing your filing, it is advised that
you seek legal counsel. Please be aware that this filing will become public information.
ITEM 1: Name of Corporation
The legal name of the limited liability partnership, the name must end with “Limited Liability Partnership,”
“L.L.P.,” or “LLP”:The limited liability partnership name may not contain a word or phrase that indicates or
implies that the limited liability partnership is organized for a purpose other than the purpose contained in its
Statement of Qualification The name must be distinguishable upon the record. To search the availability of the
legal name of the limited liability partnership in the State of Alaska, go to the Corporations Section at
www.commerce.alaska.gov/occ
and select Search Corporations Database.
ITEM 2: Registered Agent
The registered agent of this domestic LLP must be an individual who is a resident of Alaska, or a corporation
(excluding LLC, LP and LLP) registered and in good standing with this office. The registered agent is
statutorily responsible for receiving and forwarding processes, notices, or demands on to the last known
address of the entity. A LLP may not act as a registered agent. A physical address and a mailing address in
the State of Alaska must be given.
ITEM 3: Provide the address of the partnership’s chief executive office.
ITEM 4: If the chief executive office is not in Alaska, provide the address of the office in Alaska.
ITEM 5: This statement is required by statute and states that the partnership elects to be an LLP.
ITEM 6: The partnership may choose a deferred effective date upon which the Statement of Qualification will
become active in the State of Alaska.
Signatures
Provide the printed names and signatures of the partners (at least two) who are both natural persons of the
age of 18 years or more.
Mail the Statement of Qualification and the $250.00 filing fee in U.S. dollars to:
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately
10-15 business days. All applications are reviewed in the date order they are received. To file your application
online for immediate processing, visit our website at: www.commerce.alaska.gov/occ
.
State of Alaska
Division of Corporations, Business and Professional Licensing
CORPORATIONS SECTION
PO Box 110806
Juneau, AK 99811-0806
Phone: (907) 465-2550
Fax: (907) 465-2974
Website: www.commerce.alaska.gov/occ
08-524 (Rev. 01/07/2013) Statement of Qualification Instructions
ADDITIONAL RESOURCES:
Professional License:
For information regarding what professions require a Professional License, statutes, how to obtain a
Professional License, and/or the expiration date if you already have a Professional License, go to the
Professional License Section of our website at www.commerce.alaska.gov/occ
.
Business License:
For the privilege of engaging in a business in the State of Alaska, a Business License is required for a new
entity. For information regarding business licenses, statutes, and how to obtain a Business License, go to
the Business License Section of our website at www.commerce.alaska.gov/occ
.
Alaska Corporate Net Income Tax
Every corporation earning gross income from sources within the state, except for those corporations that
are specifically exempted, must file a corporation net income tax return. Contact the Alaska Department of
Revenue, Tax Division, PO Box 110420, Juneau, Alaska, 99811-0420, telephone number (907) 465-2320
for more information.
08-524 (Rev. 01/07/2013) Page 1 of 2
State of Alaska
Division of Corporations, Business and Professional Licensing
CORPORATIONS SECTION
PO Box 110806
Juneau, AK 99811-0806
Phone: (907) 465-2550
Fax: (907) 465-2974
Website: www.commerce.alaska.gov/occ
DO NOT STAMP ABOVE THIS BOX
Office Use Only CORP
STATEMENT OF QUALIFICATION
Domestic Limited Liability Partnership
AS 32.06.911
$250.00 Filing Fee
Pursuant to Alaska Statutes 32.06.911, the undersigned partnership applies for a Certificate of Qualification
and, for that purpose, submits the following statement:
ITEM 1: The legal name of the limited liability partnership, the name must end with “Limited Liability
Partnership,” “L.L.P.,” or “LLP”:
ITEM 2: Registered agent name and address (must include a physical and mailing address in Alaska):
Name:
Physical address: City: AK Zip Code:
Mailing address: City: AK Zip Code:
ITEM 3: The address of the partnership’s chief executive office:
Name:
Physical address:
Mailing address:
ITEM 4: If the chief executive office is not in Alaska, list address of the office in Alaska:
Name:
Physical address:
Mailing address:
ITEM 5: The partnership elects to be a limited liability partnership.
ITEM 6: Effective date of qualification if deferred from date of filing (mm/dd/yyyy format): ___/___/_____
Signatures: The statement filed by a partnership must be executed by at least two partners.
Signature of Partner Printed Name of Partner Date
Signature of Partner Printed Name of Partner Date
08-524 (Rev. 01/07/2013) Page 2 of 2
Mail the Statement of Qualification and the $250.00 filing fee in U.S. dollars to:
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is
approximately 10-15 business days. All applications are reviewed in the date order they are received. To file
your application online for immediate processing, visit our website at: www.commerce.alaska.gov/occ
.
08-561 (Rev. 02/01/2012) Page 1 of 1
State of Alaska
Division of Corporations, Business and Professional Licensing
CORPORATIONS SECTION
PO Box 110806
Juneau, AK 99811-0806
Phone: (907) 465-2550
Fax: (907) 465-2974
Website: www.commerce.alaska.gov/occ
DO NOT STAMP ABOVE THIS BOX
Office Use Only CORP
CONTACT INFORMATION SHEET
Please return this document with your filing. This information will only be used to resolve questions with the filings
attached. NOTE: this form will not be filed for record or appear online.
Name of entity as it appears on filing:
To resolve questions with this filing, contact:
Name:
Email: Phone:
Mailing address:
Return documents to:
Name:
Company:
Mailing address:
Attach this form to your filings. Send all documents to:
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is
approximately 10-15 business days. All applications are reviewed in the date order they are received.
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