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
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 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.
Filing Fee and Payment: $3 per 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.
Website: All forms are available on the Secretary of State’s website,
www.azsos.gov.
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
Name of the Limited Liability Partnership End the name with the words “Limited Liability Partnership” or “L.L.P.”
Phone number (include area code)
( )
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. Statement of Status for which this application is made:
4. Delayed Effective Date, If Any
Please Check
Limited Liability Partnership (L.L.P.)
5. The Names, Addresses, and Signatures of each general partner:
