APPLICATION FOR REGISTRATION
FOREIGN LIMITED PARTNERSHIP
State Form 55652 (R2 / 6-16)
Approved by State Board of Accounts, 2016
SECRETARY OF STATE
BUSINESS SERVICES DIVISION
302 West Washington Street, Room E018
Indianapolis, IN 46204
Telephone: (317) 232-6576
www.sos.in.gov
INSTRUCTIONS: 1. Use 8 ½”x11 white paper for attachments.
2. Please TYPE
or PRINT in INK.
3. Please visit our office at www.sos.IN.gov
4. Make check or money order payable to the Secretary of State.
5. Submit original completed paperwork to: 302 West Washington Street, Room E-018, Indianapolis, IN 46204.
INFORMATION CONTAINED ON THIS PAGE IS NOT PART OF THE PUBLIC RECORD.
Name of business
E-mail address of business (SOS use only)
RETURN DOCUMENTS TO:
Name
Street address, line 1
Street address, line 2
City
State
ZIP code
Telephone number
( )
E-mail address (If different from above – SOS use only)
Reset Form
APPLICATION FOR REGISTRATION
FOREIGN LIMITED PARTNERSHIP
State Form 55652 (R2 / 6-16)
Approved by State Board of Accounts, 2016
Indiana Code 23-16-10-2
23-16-12-4
FILING FEE: $125.00
APPLICATION FOR REGISTRATION OF
__________________________________________________________________________________________________
A FOREIGN LIMITED PARTNERSHIP TO TRANSACT BUSINESS IN THE STATE OF INDIANA.
The undersigned general partner, desiring to effectuate the admittance of the above Limited Partnership to transact business in the State of Indiana,
certifies the following facts:
ARTICLE I – NAME
Fictitious Name (Only used if name in the application is not available in Indiana.) (See cover page.)
ARTICLE II – JURISDICTION AND DATE OF FORMATION
State or jurisdiction of organization
Date of formation (month, day, year)
The undersigned general partner certifies that the above named entity validly exists as a limited partnership under the laws of the jurisdiction
of its organization.
ARTICLE III – BUSINESS PURPOSE
State the nature or business purpose to be promoted in Indiana.
ARTICLE IV – REGISTERED OFFICE AND AGENT
Name of Registered Agent (Cannot be the corporation itself.)
Address of Registered Office (number and street – PO box not accepted)
City
State
IN
ZIP code
Required:
By checking the box, the Signator(s) represent(s) that the Registered Agent named in the application has consented to the appointment
of Registered Agent.
ARTICLE V – GENERAL PARTNERS
List the names and addresses of each general partner. (Please attach additional sheets if necessary.)
Name Title Address (number and street, city, and state and ZIP code)
(Continued on the next page.)
ARTICLE VI – DATE OF TRANSACTION
State the date that foreign Limited Partnership first transacted, or intends to transact, business in Indiana (month, day, year)
ARTICLE VII – RECORDS
Official address where a list of names and addresses of Limited Partners and the capital contributions of each is kept (number and street)
City
State
ZIP code
The above named foreign limited partnership will keep the records of all limited partners’ names, addresses and capitol contributions of each
until the registration is cancelled in Indiana.
SIGNATURE
In witness whereof, the undersigned being the ___________________________________________________________ of said Limited Partnership
(general partner)
signs this Application for Registration, and verifies subject to penalties of perjury, that the facts contained herein are true,
this ______ day of ________________________, 20______.
Signature Printed name