APPLICATION FOR REGISTRATION
FOREIGN LIMITED LIABILITY PARTNERSHIP
State Form 55640 (R2 / 6-16)
Approved by State Board of Accounts, 2016
Indiana Code 23-4-1-49
FILING FEE: $125.00
APPLICATION FOR REGISTRATION OF
__________________________________________________________________________________________________
A FOREIGN LIMITED LIABILITY PARTNERSHIP TO TRANSACT BUSINESS IN THE STATE OF INDIANA.
The undersigned partner, desiring to effectuate the admittance of the above LLP 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 OF LLP AND DATE OF FORMATION
State or jurisdiction in which partnership is registered
Date of formation (month, day, year)
ARTICLE III – ADDRESS OF PRINCIPAL OFFICE
Address of Principal Office (number and street )
City
State
ZIP code
ARTICLE IV – REGISTERED OFFICE AND AGENT
Name of Registered Agent (Cannot be the corporation itself.)
Address of Registered Office (number and street or building – 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 – BUSINESS PURPOSE
Please give a brief statement describing the business in which the Limited Liability Partnership is engaged.
ARTICLE VI – STATEMENT
The undersigned partner certifies that the filing of the registration is evidence of the partnership’s intention to act as a limited liability partnership.
SIGNATURE
In witness whereof, the undersigned being the ___________________________________________________________ of said LLP signs this
(partner)
Application for Registration, and verifies subject to penalties of perjury, that the facts contained herein are true,
this ______ day of ________________________, 20______.
Signature Printed name
