Arizona Department of State Office of the Secretary of State Michele Reagan, Secretary of State
State of Arizona – Office of the Secretary of State
Statement of Qualification to be a Limited Liability
Partnership, A.R.S. § 29-1101 or a Limited Liability
Limited Partnership, A.R.S. § 29-367
SEND BY MAIL TO:
Secretary of State Michele Reagan, Atten: Limited Partnerships
1700 W. Washington Street, FL. 7, Phoenix, AZ 85007-2808
OR return this application in person:
PHOENIX - State Capitol Executive Tower,
1700 W. Washington Street, 1st Fl., Room 103
TUCSON - Arizona State Complex,
400 W. Congress, 1st Fl., Suite 141
Office Hours: Monday through Friday, 8 a.m. to 5 p.m., except state holidays.
IN-PERSON ONLY - We accept major credit
cards and bank debit cards.
DO NOT WRITE IN THIS SPACE
FOR OFFICE USE ONLY
SOSBS ARS291101 & ARS 29367
REV. 3/12/2015
PLEASE NOTE: All correspondence regarding this filing will be sent to the principal office identified on this certificate.
This application must be submitted with a self-addressed, stamped envelope with applicable filing fees.
When to use this form: To be filed by AN EXISTING Arizona Limited
Partnership on record with the Secretary of State.
Be Accurate: Complete all applicable fields on this form. Write legibly; or fill
out this application online at www.azsos.gov and print it.
Submission: Submit this certificate in duplicate (one original, one copy)
with a self-addressed, stamped envelope with payment. Any other matters,
please attach additional sheets with filing.
Website: All forms are available on the Secretary of State’s Website,
www.azsos.gov.
LLP Filing Fee and Payment: $3 LLP Statement of Qualification + $3 per
additional page
LLLP Filing Fee and Payment: $3 LLP Statement of Qualification + $3
LLLP Statement of Qualification + $3 per additional page
If filing by mail, make checks or money orders payable to the: Secretary of
State.
Processing: 2-3 weeks; expedited service (24-48 hours) available for an
additional $25.
Questions? Call (602) 542-6187; in-state/toll-free (800) 458-5842.
1. Partnership information
Name of the Qualifying Partnership or Limited Partnership
Sec. of State File Number
Delayed Effective Date, If Any
Name of the Limited Liability Partnership End the name with the words “Limited Liablity Partnership” or “L.LP.”
Statement of Status
Limited Liability Partnership
Name of the Limited Liability Limited Partnership End the name with the words “Limited Liablity Limited Partnership” or “L.L.L.P.”
Arizona address of chief executive office (P.O. Box or C/O are unacceptable)
2. Agent for service of process information
Agent for service of process
Phone number (include area code)
( )
Arizona address of agent (P.O. Box or C/O are unacceptable)
3. The Names, Addresses, and Signatures of each general partner:
